James T Heiberger, MD - Medicare Family Practice in Colorado Springs, CO

James T Heiberger, MD is a medicare enrolled "Family Medicine" physician in Colorado Springs, Colorado. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Quality Medical Clinic Llc and his current practice location is 1304 N Academy Blvd, 106, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 638-4548.

James T Heiberger is licensed to practice in Colorado (license number 24223) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336238930.

Contact Information

James T Heiberger, MD
1304 N Academy Blvd, 106,
Colorado Springs, CO 80909
(719) 638-4548
(719) 638-4571

Map and Direction




Physician's Profile

Full NameJames T Heiberger
GenderMale
SpecialityFamily Practice
Experience48 Years
Location1304 N Academy Blvd, Colorado Springs, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James T Heiberger graduated from medical school in 1976
  NPI Data:
  • NPI Number: 1336238930
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 05/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9537194618
  • Enrollment ID: I20050927001450

Medical Identifiers

Medical identifiers for James T Heiberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336238930NPI-NPPES
080001911OtherCOR.R.MEDICARE
01242239MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 24223 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uch-memorial Health SystemColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Quality Medical Clinic Llc59911176402

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James T Heiberger allows following entities to bill medicare on his behalf.
Entity NameQuality Rehab Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124276217
PECOS PAC ID: 6406919950
Enrollment ID: O20190815003529
Entity NameQuality Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780288753
PECOS PAC ID: 5991117640
Enrollment ID: O20201222000887

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James T Heiberger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James T Heiberger, MD
1304 N Academy Blvd, 106,
Colorado Springs, CO 80909

Ph: (719) 638-4548
James T Heiberger, MD
1304 N Academy Blvd, 106,
Colorado Springs, CO 80909

Ph: (719) 638-4548

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.