Active NPI 1982995809 Individual Practitioner Male Practitioner

Dr. Benjamin Michael Heyman , MD

Internal Medicine - Hematology • Irvine, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Heyman, MD is a certified Internal Medicine - Hematology practicing in Irvine, CA. With approximately 15 years of clinical experience since graduating from University Of Virginia School Of Medicine in 2011, Dr. Heyman delivers high-quality medical care to the local community at 1000 FIVEPOINT STE 1000A.

Dr. Heyman maintains professional affiliations with City Of Hope Medical Foundation, Regents Of The University Of California and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 Fivepoint Ste 1000a

Irvine, CA 926182377

Telephone 9496714673

Associated Practice Facility / Clinic

🏢 Regents Of The University Of California Facility NPI 1881796811

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Hematology in Irvine, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.8 yrs vs City Avg

City Avg: 11.2 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

5 Specialists

Practicing in Irvine, CA (185 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heyman (15 Years) 15 Yrs

Irvine Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	242	85	$67.00	$16.90
99213 Established patient office or other outpatient visit, typically 15 minutes	189	119	$344.59	$67.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	143	48	$518.71	$147.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	62	$390.40	$98.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	35	$273.70	$80.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$503.58	$132.42
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	37	28	$67.00	$16.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$585.59	$135.52
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$344.48	$97.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	11	$397.37	$120.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$732.16	$184.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$526.83	$191.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$392.00	$129.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	128	$238.26	$68.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	46	$248.00	$81.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	61	$348.18	$101.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	31	$476.03	$147.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$468.00	$134.26
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$239.56	$68.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$541.16	$137.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$675.59	$187.02
99497 Advance care planning, first 30 minutes	14	13	$306.86	$78.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	104	$204.00	$70.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	57	$295.00	$103.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	33	$430.20	$152.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	22	$248.00	$74.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	20	$355.00	$106.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$575.00	$192.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$430.68	$139.17
99497 Advance care planning, first 30 minutes	22	19	$240.00	$81.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$468.00	$140.08
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$204.00	$68.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	69	$313.79	$105.11
99213 Established patient office or other outpatient visit, typically 15 minutes	112	78	$212.06	$71.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	28	$236.36	$75.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	21	$333.40	$108.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	25	$437.73	$154.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$480.33	$139.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$446.57	$141.92
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$166.26	$71.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$594.38	$194.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	89	$334.00	$82.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	18	$320.00	$109.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	30	$448.00	$109.48
99443 Telephone medical discussion with physician, 21-30 minutes	44	32	$200.89	$83.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$512.00	$135.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	15	$222.00	$76.24
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$418.00	$144.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$600.40	$162.46
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$135.00	$54.19
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$225.00	$54.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$620.00	$212.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	47	$256.00	$82.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	14	$345.00	$115.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	26	$222.00	$75.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$396.00	$133.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	22	$320.00	$108.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$418.00	$141.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$620.00	$210.24
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$171.00	$53.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$515.00	$174.64

Medical Specialties & State Licenses

CMS Verified: 2025-06-16

Internal Medicine - Hematology Primary Specialty

NUCC Taxonomy Code: 207RH0000X

State License CA A157684

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Internal Medicine - Hematology & Oncology

NUCC Taxonomy Code: 207RH0003X

State License CA A157684

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Hospital & Practice Group Affiliations

City Of Hope Medical Foundation

1000 Fivepoint, Irvine, CA 926182377

Phone: 9496714673

Regents Of The University Of California

200 W Arbor Dr, San Diego, CA 921033109

Phone: 8586577000

Secondary Practice Locations

1000 Fivepoint Ste 1000b

Irvine, CA 926182377

Phone: 8008264673

1500 Duarte Rd

Duarte, CA 910103012

Phone: 8008264673

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Amber Rickner , NP

Nurse Practitioner - Acute Care

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Nurse Practitioner

Dr. Nairi Berner , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1104093277

Doctor of Medicine (M.D.)

Erica Hobson , MSN, APRN, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1124652805

Master of Science in Nursing, Advanced Practice Registered Nurse, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Erica Veguilla , MD, MPH

Psychiatry & Neurology - Psychiatry

NPI 1144431123

Doctor of Medicine (M.D.), Master of Public Health

Dr. Lisa Lee , MD

Internal Medicine - Hematology & Oncology

NPI 1144583733

Doctor of Medicine (M.D.)

Dr. Seth Cohen , MD

Urology - Female Pelvic Medicine and Reconstructive Surgery

NPI 1164670287

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location June 16, 2025

Registered at 1000 FIVEPOINT STE 1000A, IRVINE, CA 926182377 (Tel: 9496714673)

📍

Updated Business Mailing Address June 20, 2019

Registered at PO BOX 232410, SAN DIEGO, CA 921932410

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2019

Internal Medicine (License #A157684 in CA)

✅

NPI Profile Active April 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2011

Registered at 2301 ERWIN RD, DURHAM, NC 277054699 (Tel: 2013147185)

📍

Updated Business Mailing Address April 26, 2011

Registered at 85 PROSPECT TER, TENAFLY, NJ 076701807 (Tel: 2013147185)

👤

Provider Name / Credentials Updated April 26, 2011

Recorded as BENJAMIN HEYMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982995809

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 26, 2011

Last Update: June 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 232410

San Diego, CA 921932410

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.