THOMAS HEISCHMIDT (M.D.) – Internal Medicine Physician, NPI 1396720983

THOMAS HEISCHMIDT (M.D.) is a healthcare provider. based in Effingham, Illinois. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036097905 (IL). The NPI Number for THOMAS HEISCHMIDT (M.D.) is 1396720983

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS HEISCHMIDT (M.D.)
NPI
1396720983
Phone
(217) 342-7000
Address
PO BOX 665
Enumeration Date
7 December 2005
Last Update Date
8 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2173422121
Graduation Year
1995 (31 years ago)
PAC ID
8224022843
Group Practice PAC ID
2365341211
Professional Enrollment ID
I20100331000587
Address ID
IL624012006EF503XXSTXX400

Contacts

Secure Messaging
thomas.heischmidt@familycare.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for THOMAS HEISCHMIDT (M.D.)

  • PO BOX 665

    EFFINGHAM, IL 624010665

    Phone: (217) 342-7000

    Type: Mailing

  • 1106, North Merchant Street, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624012128

    Phone: (217) 342-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Kerecis Limited ($154).

Total Amount

$400

General + Research + Ownership

Payments

9

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100331000587IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only668546$0
99214Established patient office or other outpatient visit, 30-39 minutes40144$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less26116$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less16545$0
11042Removal of skin and tissue, 20.0 sq cm or less9922$0
View full utilization report →

Insurance plans in this area (ZIP 62401)

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Provider's Procedures

THOMAS HEISCHMIDT (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL11042Removal of skin and tissue first 20 sq cm or less18834
INTERNAL MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report23331544

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365341211View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Family PracticeIL
-IL
General SurgeryIL
N E U R O L O G YIN
General Surgery, Critical Care (Intensivists)IL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL

Reviews

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Frequently asked questions

How do payers reference THOMAS HEISCHMIDT (M.D.)?
For THOMAS HEISCHMIDT (M.D.), use NPI 1396720983 as the unique 10-digit identifier.
Would THOMAS HEISCHMIDT (M.D.) appear as active to a payer?
You can treat THOMAS HEISCHMIDT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is THOMAS HEISCHMIDT (M.D.)?
THOMAS HEISCHMIDT (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is THOMAS HEISCHMIDT (M.D.) associated with Effingham?
Public fields place THOMAS HEISCHMIDT (M.D.) around Effingham, Illinois. Always confirm the exact site before visiting.
Can I trust this NPI listing for THOMAS HEISCHMIDT (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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