DR. JOSEPH D. HEINEMAN (M.D.) – Urology Physician, NPI 1154394096
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
58 UROLOGY in RI
Provider Addresses for DR. JOSEPH D. HEINEMAN (M.D.)
38 POWEL AVE
NEWPORT, RI 028402655
Phone: (401) 847-2418
Fax: (401) 619-1028
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($317).
Total Amount
$637
General + Research + Ownership
Payments
5
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PROCEPT BioRobotics Corporation | $317 |
| Teleflex LLC | $148 |
| Telix Pharmaceuticals | $144 |
| ABBVIE INC. | $29 |
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: 2025-09-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101103001034 | I | Urology | RI | TBD |
| I20250916003093 | I | Urology | CT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 390 | 277 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 175 | 122 | $0 |
| 81002 | Urinalysis, manual test | 141 | 117 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 138 | 114 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 73 | 73 | $0 |
Insurance plans in this area (ZIP 02840)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | NJ | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CT | |
| - | CT |
Reviews
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