CORY HEIDELBERGER (MD) – Emergency Medicine Physician, NPI 1063661296

CORY HEIDELBERGER (MD) is a healthcare provider. based in Bellevue, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD60322364 (WA). The NPI Number for CORY HEIDELBERGER (MD) is 1063661296

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
CORY HEIDELBERGER (MD)
NPI
1063661296
Phone
Not provided
Address
1035 116TH AVE NE
Enumeration Date
11 September 2008
Last Update Date
17 March 2016

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4256885000
Graduation Year
2007 (19 years ago)
PAC ID
5597957860
Group Practice PAC ID
2961301882
Professional Enrollment ID
I20130121000222
Address ID
WA980044604BE1035XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

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Provider Addresses for CORY HEIDELBERGER (MD)

  • Overlake Medical Center, 1035, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States

    BELLEVUE, WA 980044604

    Phone:

    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: 2013-01-21

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
I20130121000222IEmergency MedicineWATBD

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
99285Emergency department visit with high level of medical decision making261255$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only144126$0
99284Emergency department visit with moderate level of medical decision making5858$0
99291Critical care, first 30-74 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 98004)

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Provider's Procedures

CORY HEIDELBERGER (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEWA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report157151

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: 2961301882View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicinePA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineWA
Physician AssistantOR
Physician AssistantCA
Emergency MedicineNC
Emergency MedicineWA

Reviews

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Frequently asked questions

Is there an official ID for CORY HEIDELBERGER (MD) in U.S. healthcare records?
The official identifier for CORY HEIDELBERGER (MD) is NPI 1063661296.
Active or inactive — what applies to CORY HEIDELBERGER (MD)?
You should see CORY HEIDELBERGER (MD) as active in CMS-hosted NPPES data.
How would a patient describe CORY HEIDELBERGER (MD)'s focus?
For CORY HEIDELBERGER (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CORY HEIDELBERGER (MD) located near Bellevue?
CORY HEIDELBERGER (MD) currently maps to Bellevue, Washington in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.