Thomas C. Vanderheyden, MD
Emergency Medicine Physician · Mobile, AL
Thomas C. Vanderheyden, MD is an emergency medicine physician with a practice address in Mobile, Alabama, and NPI 1720026438, issued on Jun 3, 2006. Check the license (Alabama 27874, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Thomas C. Vanderheyden
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License numbers
- 27874 AL
A90522 CA
Self-reported in NPPES; status is on the state search - Practice location
- 3719 Dauphin St, Mobile, AL 36608
- Phone
- (251) 626-5377
- Enumerated
- Jun 3, 2006
- Record last updated
- Mar 4, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 00A905220 CA
- Medicare enrollment
- Enrolled (PECOS I20070409000624); accepts Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In New Orleans, 2002
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 678 in Alabama → Look up another NPI →
Also registered at 3719 Dauphin St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jorge Alsip, MDEmergency Medicine Physician1326143249
- Ruby Amys, CRNAStudent in an Organized Health Care Education/Training Program1629953609
- Sherri Arledge, MDHematology & Oncology Physician1881805406
- James Atchison, CRNACertified Registered Nurse Anesthetist1699652826
- Alan Babcock, M.D.Emergency Medicine Physician1225297286
- Donna Ballard, MDEmergency Medicine Physician1649375569
Verify Thomas C. Vanderheyden in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersAlabama Board of Medical Examiners
Search for license 27874Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.6 times the Medicare Part D claims of the average emergency medicine physician in 2024
590 Medicare Part D claims for 385 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 89 claims were for opioids.
Most prescribed
- Oxycodone-Acetaminophen55 claims
- Cefdinir50 claims
- Ondansetron Odt44 claims
- Doxycycline Hyclate41 claims
- Hydrocodone-Acetaminophen34 claims
- Famotidine33 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): 96.6 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: $15.88
1 payment: food and beverage; the largest payer was Gilead Sciences, Inc. The 12,335 providers of this specialty with any payment received $953.79 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 2 group practices
- Urgent Care BY The Bay, LLCDaphne, AL
- USA Health Physician Billing Services LLCMobile, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas C. Vanderheyden among 678 emergency medicine physician records in Alabama
Thomas C. Vanderheyden, MD is one of 678 emergency medicine physician records with a practice address in Alabama. 84% 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 9% of them.
- NPI issued2006 · 9% of these records are older, 51% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2002 · median 2011 among the 399 with a school on file
- Record last updated2020 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
78 emergency medicine physician records list a practice address in Mobile
They are 78 of the 6,309 NPPES records with a practice address in Mobile, and 678 emergency medicine physician records in Alabama.
All 678 in Alabama → Every provider in Mobile → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Jorge Alsip, MDMobile, AL 366081326143249
- Alan Babcock, M.D.Mobile, AL 366081225297286
- Donna Ballard, MDMobile, AL 366081649375569
- Richard Beverly, M.D.Mobile, AL 366081740236850
- Michael Bindon, MDMobile, AL 366081578777884
- Christopher Cartmill, MDMobile, AL 366081780125021
- John Jacobs, M.D.Mobile, AL 366081063673325
- John McMahon, M.D.Mobile, AL 366081639126741
Common questions
What is Thomas C. Vanderheyden, MD's NPI number?
Thomas C. Vanderheyden, MD's National Provider Identifier (NPI) is 1720026438, issued on Jun 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Thomas C. Vanderheyden, MD located?
The NPPES record lists a practice address at 3719 Dauphin St, Mobile, AL, 36608. Phone: (251) 626-5377. Providers update this record themselves, so call before visiting.
How can I verify Thomas C. Vanderheyden, MD's license?
NPPES lists Alabama license number 27874, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Thomas C. Vanderheyden, MD prescribe under Medicare Part D?
In 2024, Thomas C. Vanderheyden, MD had 590 Medicare Part D claims for 385 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
What is Thomas C. Vanderheyden, MD's MIPS final score?
The 2023 MIPS final score is 96.6 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.