John A. Heim, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Philadelphia, PA
John A. Heim, M.D. is a thoracic surgery (cardiothoracic vascular surgery) physician with a practice address in Philadelphia, Pennsylvania, and NPI 1538117825, issued on May 5, 2006. Check the license (Pennsylvania MD423045, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- John A. Heim
- Credential
- M.D.
- Primary taxonomy
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License number
- MD423045 PA
Self-reported in NPPES; status is on the state search - Practice location
- 3998 Red Lion RD, Philadelphia, PA 19114
- Phone
- (215) 612-5050
- Enumerated
- May 5, 2006
- Record last updated
- Jul 12, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (215) 612-5214
- Medicaid IDs
- 0015941070004 PA
0015941070003 PA
0015941070005 PA - Medicare enrollment
- Enrolled (PECOS I20091001000735); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 1985
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest thoracic surgery (cardiothoracic vascular surgery) physician records → All 377 in Pennsylvania → Look up another NPI →
Also registered at 3998 Red Lion RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jamie Adamski, D.O.Emergency Medicine Physician1902003528
- Randall Ancharski, PACSurgical Physician Assistant1811035991
- Joseph Arcieri, CRNPAdult Health Nurse Practitioner1144563636
- Neeja Bakshi, D.O.Internal Medicine Physician1760668024
- Halfdan Bau-Madsen, D.O.Emergency Medicine Physician1235334616
- Barry Benner, CRNACertified Registered Nurse Anesthetist1710905013
Verify John A. Heim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD423045Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average thoracic surgery (cardiothoracic vascular surgery) physician in 2024
46 Medicare Part D claims for 20 beneficiaries, against an average of 101 among the 2,587 providers of this specialty who prescribed in Part D. 11 claims were for opioids.
Most prescribed
- Gabapentin13 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 79.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $403.32
3 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,047 providers of this specialty with any payment received $7,828.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Clinical Health Care Associates OF New Jersey PCPlainsboro, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John A. Heim among 377 thoracic surgery (cardiothoracic vascular surgery) physician records in Pennsylvania
John A. Heim, M.D. is one of 377 thoracic surgery (cardiothoracic vascular surgery) physician records with a practice address in Pennsylvania. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 54% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated1985 · median 1998 among the 223 with a school on file
- Record last updated2007 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208G00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers in Pennsylvania
There are 377 thoracic surgery (cardiothoracic vascular surgery) physician records in Pennsylvania.
All 377 in Pennsylvania → Every provider in Philadelphia → Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationwide →
The 8 thoracic surgery (cardiothoracic vascular surgery) physician records with the nearest ZIP codes
- John Pym, MB, BSPhiladelphia, PA 191141669558748
- Robert Quigley, M.D.Philadelphia, PA 191141386682136
- Lisa Bevilacqua, MDPhiladelphia, PA 191111659868651
- Louis Chai, M.D.Philadelphia, PA 191111164870689
- Stacey Su, MDPhiladelphia, PA 191111801014493
- Cecillia ChinPhiladelphia, PA 191071013256684
- Tyler Grenda, M.D.Philadelphia, PA 191071023337821
- John Jacob, M.D.Philadelphia, PA 191071801182662
Common questions
What is John A. Heim, M.D.'s NPI number?
John A. Heim, M.D.'s National Provider Identifier (NPI) is 1538117825, issued on May 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John A. Heim, M.D. located?
The NPPES record lists a practice address at 3998 Red Lion RD, Philadelphia, PA, 19114. Phone: (215) 612-5050. Providers update this record themselves, so call before visiting.
How can I verify John A. Heim, M.D.'s license?
NPPES lists Pennsylvania license number MD423045, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John A. Heim, M.D. prescribe under Medicare Part D?
In 2024, John A. Heim, M.D. had 46 Medicare Part D claims for 20 beneficiaries; the average among thoracic surgery (cardiothoracic vascular surgery) physician prescribers was 101. Part D covers Medicare prescriptions only.
What is John A. Heim, M.D.'s MIPS final score?
The 2023 MIPS final score is 79.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.