Active NPI 1396720983 Individual Practitioner Male Practitioner

Dr. Thomas Heischmidt , MD

Internal Medicine • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Heischmidt, MD is a certified Internal Medicine practicing in Effingham, IL. With approximately 31 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1995, Dr. Heischmidt delivers high-quality medical care to the local community at 1106 N MERCHANT ST.

Dr. Heischmidt maintains professional affiliations with Family Care Associates Of Effingham Sc, St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, established patient outpatient office visit, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1106 N Merchant St

Effingham, IL 624012128

Telephone 2173427000

Associated Practice Facility / Clinic

🏢 Family Care Associates Of Effingham, S.c. Facility NPI 1649255266

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Effingham, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +1.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Effingham, IL (7544 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heischmidt (31 Years) 31 Yrs

Effingham Specialty Average (29.3 Years) 29.3 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
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	583	477	$36.00	$7.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	49	$294.00	$82.96
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	127	12	$111.00	$23.21
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	75	32	$604.00	$136.32
11042 Removal of skin and tissue, 20.0 sq cm or less	62	16	$308.00	$48.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$247.00	$69.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	668	546	$34.91	$7.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	401	44	$284.96	$94.96
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	261	16	$107.65	$25.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	165	45	$583.89	$151.30
11042 Removal of skin and tissue, 20.0 sq cm or less	99	22	$300.18	$57.12
99183 Management and supervision of oxygen chamber therapy per session	89	12	$464.94	$104.88
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	64	12	$147.57	$54.65
99213 Established patient office or other outpatient visit, typically 15 minutes	54	25	$191.25	$64.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	688	571	$33.23	$8.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	53	$278.30	$96.15
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	321	17	$104.88	$26.44
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	222	48	$570.49	$152.47
11042 Removal of skin and tissue, 20.0 sq cm or less	94	22	$291.18	$59.19
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	70	15	$147.32	$56.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$315.11	$133.70
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$186.30	$65.51
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$96.00	$5.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	440	23	$105.83	$27.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	422	373	$33.23	$8.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	64	$278.30	$100.10
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	224	52	$570.49	$158.05
11042 Removal of skin and tissue, 20.0 sq cm or less	125	33	$291.18	$61.09
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	71	14	$147.32	$57.64
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$186.30	$67.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$233.45	$84.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$315.11	$137.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	13	13	$93.00	$6.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	761	641	$33.23	$8.56
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	394	17	$104.88	$28.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	295	53	$277.85	$79.94
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	196	37	$570.49	$150.09
11042 Removal of skin and tissue, 20.0 sq cm or less	108	24	$291.18	$60.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	27	$184.54	$72.55
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	94	12	$147.32	$55.07
99183 Management and supervision of oxygen chamber therapy per session	84	13	$450.83	$114.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	19	$240.67	$105.18
99213 Established patient office or other outpatient visit, typically 15 minutes	32	19	$186.30	$50.84
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	25	25	$93.00	$8.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$364.50	$139.26
99239 Hospital discharge day management, more than 30 minutes	22	21	$250.00	$107.53
99217 Hospital observation care on day of discharge	14	14	$190.29	$72.95
99219 Hospital observation care, typically 50 minutes	14	14	$309.00	$137.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$315.11	$132.32
99238 Hospital discharge day management, 30 minutes or less	12	11	$203.00	$72.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,447	1,150	$33.23	$8.47
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	480	20	$104.88	$27.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	74	$277.33	$78.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	174	56	$238.07	$103.88
11042 Removal of skin and tissue, 20.0 sq cm or less	122	26	$291.18	$60.68
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	92	32	$570.49	$158.61
99183 Management and supervision of oxygen chamber therapy per session	91	15	$450.83	$111.60
99239 Hospital discharge day management, more than 30 minutes	62	50	$249.32	$106.36
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	50	11	$147.32	$57.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	37	$444.89	$202.08
11044 Removal of bone, 20.0 sq cm or less	36	16	$993.60	$235.40
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	34	34	$92.56	$8.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$356.00	$137.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$233.45	$76.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$173.00	$72.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$330.41	$110.89
99217 Hospital observation care on day of discharge	14	14	$180.64	$72.58
99219 Hospital observation care, typically 50 minutes	11	11	$308.18	$135.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,914	1,403	$33.23	$8.38
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	636	22	$104.88	$26.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	48	$276.43	$77.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	275	75	$232.00	$103.22
11042 Removal of skin and tissue, 20.0 sq cm or less	170	28	$291.18	$61.83
99183 Management and supervision of oxygen chamber therapy per session	134	18	$450.83	$110.86
99239 Hospital discharge day management, more than 30 minutes	73	53	$243.00	$105.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	49	$425.00	$200.91
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	60	20	$570.49	$154.32
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	36	33	$90.00	$7.92
99219 Hospital observation care, typically 50 minutes	28	26	$300.00	$134.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	20	$168.00	$72.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$346.00	$135.66
99217 Hospital observation care on day of discharge	18	16	$176.00	$71.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$331.56	$109.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$240.87	$75.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	2,012	1,435	$33.23	$7.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	39	$278.30	$73.39
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	256	22	$105.29	$25.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	196	72	$231.72	$100.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	157	65	$167.97	$69.66
11042 Removal of skin and tissue, 20.0 sq cm or less	132	25	$291.18	$57.73
99238 Hospital discharge day management, 30 minutes or less	74	58	$194.32	$69.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	30	$425.00	$195.92
99239 Hospital discharge day management, more than 30 minutes	34	27	$243.00	$103.13
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	33	32	$90.00	$7.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$346.00	$132.51
99217 Hospital observation care on day of discharge	18	16	$176.00	$69.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$334.92	$103.84
99221 Initial hospital inpatient care per day, typically 30 minutes	13	11	$257.00	$98.59
99219 Hospital observation care, typically 50 minutes	12	12	$300.00	$131.18

Medical Specialties & State Licenses

CMS Verified: 2020-09-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036097905

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036097905

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan

IL2868156 (IL)

Hospital & Practice Group Affiliations

Family Care Associates Of Effingham Sc

1106 N Merchant St, Effingham, IL 624012128

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third

503 N Maple St, Effingham, IL 624012006

Phone: 2173422121

Practice Associates & Co-Workers

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

21 Associated Practitioners

Rebecca Holkenbrink , LCPC

Counselor - Professional

NPI 1013542869

Licensed Clinical Professional Counselor

Meagan Zerrusen

Specialist/Technologist - Athletic Trainer

NPI 1053657254

Dr. Mary Bingham , MD

Pediatrics

NPI 1063497659

Doctor of Medicine (M.D.)

Dorothy Behrns , FNP

Nurse Practitioner - Family

NPI 1063497667

Family Nurse Practitioner

Janet Strange , LCSW

Social Worker - Clinical

NPI 1083117352

Licensed Clinical Social Worker

Alex Niebrugge , APRN

Nurse Practitioner - Family

NPI 1083204671

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Internal Medicine (License #036097905 in IL)

✅

NPI Profile Active February 26, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2018

Registered at 1106 N MERCHANT ST, EFFINGHAM, IL 624012128 (Tel: 2173427000)

📍

Updated Business Mailing Address February 26, 2018

Registered at PO BOX 665, EFFINGHAM, IL 624010665 (Tel: 2173427000)

👤

Provider Name / Credentials Updated February 26, 2018

Recorded as THOMAS HEISCHMIDT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Pediatrics (License #036097905 in IL)

✅

NPI Profile Active March 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 09, 2011

Registered at 1106 N MERCHANT ST, EFFINGHAM, IL 624012128 (Tel: 2173427000)

📍

Updated Business Mailing Address March 09, 2011

Registered at PO BOX 665, EFFINGHAM, IL 624010665 (Tel: 2173427000)

👤

Provider Name / Credentials Updated March 09, 2011

Recorded as THOMAS HEISCHMIDT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2011

Internal Medicine (License #036097905 in IL)

🟢

Initial NPI Registration & Enumeration December 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396720983

Entity Type:

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

Enumeration Date: December 07, 2005

Last Update: September 08, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 665

Effingham, IL 624010665

Phone: 2173427000

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.