GEORGIA E. HEISTERKAMP (MD) – Surgery Physician, NPI 1679619241

GEORGIA E. HEISTERKAMP (MD) is a healthcare provider. based in Port angeles, Washington. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD00037379 (WA). The NPI Number for GEORGIA E. HEISTERKAMP (MD) is 1679619241

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
GEORGIA E. HEISTERKAMP (MD)
NPI
1679619241
Phone
(360) 565-9237
Address
PO BOX 850
Enumeration Date
30 January 2007
Last Update Date
7 September 2017

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3605650999
Graduation Year
1990 (36 years ago)
PAC ID
0143396176
Group Practice PAC ID
9537172358
Professional Enrollment ID
I20110920000489
Address ID
WA983626219PO433XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

826 GENERAL SURGERY in WA

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Provider Addresses for GEORGIA E. HEISTERKAMP (MD)

  • PO BOX 850

    PORT ANGELES, WA 98362

    Phone: (360) 565-9237

    Fax: (360) 417-0127

    Type: Mailing

  • Olympic Medical Center, 907, Georgiana Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983623911

    Phone: (360) 565-0999

    Fax: (360) 417-0127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$23
View all Open Payments →|Open Payments Risk Radar →

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: 2011-09-20

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
I20110920000489IGeneral SurgeryWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5527$0
99204New patient office or other outpatient visit, 45-59 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes2624$0
99205New patient office or other outpatient visit, 60-74 minutes2424$0
99213Established patient office or other outpatient visit, 20-29 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 98362)

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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: 9537172358View full group profile
NameSpecialtyState
Physician AssistantWA
-WA
Family PracticeWA
-NY
Emergency MedicineWA
-WA
-WA
-TN
H E M A T O L O G Y/ O N C O L O G YCA
Cardiovascular Disease (Cardiology)WA

Reviews

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Frequently asked questions

What is GEORGIA E. HEISTERKAMP (MD)'s NPI number?
GEORGIA E. HEISTERKAMP (MD)'s NPI is 1679619241 — the number used across U.S. healthcare to identify this provider.
Is GEORGIA E. HEISTERKAMP (MD) still an active registrant?
GEORGIA E. HEISTERKAMP (MD) carries an active NPI according to the public dataset.
What kind of doctor is GEORGIA E. HEISTERKAMP (MD)?
GEORGIA E. HEISTERKAMP (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is GEORGIA E. HEISTERKAMP (MD) associated with Port Angeles?
Public fields place GEORGIA E. HEISTERKAMP (MD) around Port Angeles, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for GEORGIA E. HEISTERKAMP (MD) is noted as January 30, 2007 where the registry provides it.

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