JONATHAN BARRY HEISTEIN (M.D.) – Plastic Surgery Physician, NPI 1972590404
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
588 PLASTIC AND RECONSTRUCTIVE SURGERY in TX
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Provider Addresses for JONATHAN BARRY HEISTEIN (M.D.)
800, 8th Avenue, Fort Worth, Tarrant County, Texas, 76110, United States
SUITE 240
FORT WORTH, TX 761042601
Phone: (817) 820-0000
Fax: (817) 820-0097
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 48 Open Payments records for all available years, with a total value of $8,801.
Total Amount is formed as General ($1,851) + Research ($6,950) + Ownership ($0) = $8,801.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Musculoskeletal Transplant Foundation Inc. ($7,251).
Total Amount
$8,801
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,851
General payments
Research Amount
$6,950
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Musculoskeletal Transplant Foundation Inc. | $7,251 |
| ABBVIE INC. | $921 |
| Mentor Worldwide LLC | $485 |
| Merz North America, Inc. | $125 |
| REVANCE THERAPEUTICS, INC. | $19 |
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: 2005-10-27
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 |
|---|---|---|---|---|
| I20051027000064 | I | Plastic And Reconstructive Surgery | TX | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 30 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | TX |
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