DR. KARL F HEINSS (MD) – Internal Medicine Physician, NPI 1992705362
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
504 HOSPITALIST in KY
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Provider Addresses for DR. KARL F HEINSS (MD)
PO BOX 1325
CORBIN, KY 407021325
Phone: (606) 526-8131
Fax: (606) 528-8661
Type: Mailing
2, Trillium Way, Corbin, Whitley County, Kentucky, 40701, United States
SUITE 306
CORBIN, KY 407018490
Phone: (606) 526-4070
Fax: (606) 526-4072
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-01-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090127000376 | I | Hospitalist | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 359 | 120 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 208 | 96 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 72 | 70 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 35 | 35 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 40702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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