JAMES R. HEERWAGEN (MD) – Orthopaedic Surgery Physician, NPI 1952359788

JAMES R. HEERWAGEN (MD) is a healthcare provider. based in Flower mound, Texas. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. H0442 (TX). The NPI Number for JAMES R. HEERWAGEN (MD) is 1952359788

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
JAMES R. HEERWAGEN (MD)
NPI
1952359788
Phone
(972) 420-1776
Address
5000 LONG PRAIRIE RD
Enumeration Date
4 May 2006
Last Update Date
26 July 2018

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9724201776
Graduation Year
1985 (41 years ago)
PAC ID
2769401918
Group Practice PAC ID
1254403157
Professional Enrollment ID
I20080710000083
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAMES R. HEERWAGEN (MD)

  • Long Prairie Road, Flower Mound, Denton County, Texas, 75028, United States

    FLOWER MOUND, TX 750282783

    Phone: (972) 420-1776

    Fax: (972) 436-6996

    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)

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: 2008-07-10

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
I20080710000083IOrthopedic SurgeryTXTBD

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
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg74,328109$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,189291$0
J7331Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg90527$0
20610Aspiration and/or injection of fluid from large joint742297$0
99213Established patient office or other outpatient visit, 20-29 minutes471296$0
View full utilization report →

Insurance plans in this area (ZIP 75028)

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Provider's Procedures

JAMES R. HEERWAGEN (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX20610Aspiration and/or injection of large joint or joint capsule963292
ORTHOPEDIC SURGERYTX27447Repair of knee joint4341
ORTHOPEDIC SURGERYTX73562X-ray of knee, 3 views349270

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: 1254403157View full group profile

Reviews

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Frequently asked questions

How is JAMES R. HEERWAGEN (MD) identified in CMS data?
CMS-hosted NPPES data lists JAMES R. HEERWAGEN (MD) with NPI 1952359788.
Can I rely on JAMES R. HEERWAGEN (MD) being an active provider?
As of the registry snapshot, JAMES R. HEERWAGEN (MD) is marked active.
What is JAMES R. HEERWAGEN (MD) best known for clinically?
Directory data describes JAMES R. HEERWAGEN (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does JAMES R. HEERWAGEN (MD) serve?
JAMES R. HEERWAGEN (MD)'s listing highlights Flower Mound, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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