DOUGLAS HEINER (MD) – Procedural Dermatology Physician, NPI 1366753865
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
Provider Addresses for DOUGLAS HEINER (MD)
2965 W 3500 S
WEST VALLEY CITY, UT 841193602
Phone: (801) 965-3600
Type: Mailing
9001 S 3200 W
WEST JORDAN, UT 840889621
Phone: (801) 965-2799
Type: Location
14155 N 83RD AVE STE 110
PEORIA, AZ 853815640
Phone: (623) 215-0911
Type: Mailing
14155 N 83rd Ave Ste 110
Peoria, AZ 853815640
Phone: (623) 215-0911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,132.
Total Amount is formed as General ($1,132) + Research ($0) + Ownership ($0) = $1,132.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($326).
Total Amount
$1,132
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150518000309 | I | Dermatology | RI | TBD |
| I20150608001046 | I | Dermatology | AZ | TBD |
| I20250924001165 | I | Dermatology | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 720 | 123 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 495 | 399 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 333 | 253 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 220 | 173 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 218 | 162 | $0 |
Insurance plans in this area (ZIP 84119)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AZ | 17003 | Destruction of 2-14 skin growths | 267 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ | |
| Dermatology, Pathology | AZ | |
| P A T H O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| - | AZ | |
| Physician Assistant | AZ |
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