Active NPI 1457349680 Individual Practitioner Male Practitioner

Dr. Michael David Heuman , MD

Surgery • Mount Vernon, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Heuman, MD is a certified Surgery practicing in Mount Vernon, OH. With approximately 26 years of clinical experience since graduating from Wayne State University School Of Medicine in 2000, Dr. Heuman delivers high-quality medical care to the local community at 1330 COSHOCTON AVE.

Dr. Heuman is affiliated with Knox Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1330 Coshocton Ave

Mount Vernon, OH 430501440

Telephone 7403939000

Fax 7403920167

Associated Practice Facility / Clinic

🏢 Knox Diagnostic Imaging Llc Facility NPI 1639175540

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Vernon, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +5.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Mount Vernon, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heuman (26 Years) 26 Yrs

Mount Vernon Specialty Average (20.3 Years) 20.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$200.25	$126.90
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$80.11	$62.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	64	$121.03	$92.20
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	50	50	$469.80	$115.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	45	$284.02	$98.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$523.62	$237.95
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$477.03	$162.11
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	20	20	$208.00	$76.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$476.13	$162.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$142.84	$77.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$54.00	$33.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	123	$80.66	$64.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	107	$120.81	$95.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$199.81	$130.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	67	$284.02	$102.76
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	64	64	$469.80	$149.40
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	36	$523.62	$247.30
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	36	36	$208.00	$77.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$135.79	$81.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$340.55	$128.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$54.00	$34.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	15	$181.18	$77.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$477.03	$168.28
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$380.00	$167.79
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$85.20	$47.16
49650 Repair of groin hernia using an endoscope	12	12	$1139.79	$447.63
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$476.13	$172.41
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$252.70	$81.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	137	$79.65	$66.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$195.00	$134.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	87	$121.18	$97.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	62	$308.96	$101.99
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	45	45	$513.24	$157.40
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	38	38	$208.00	$81.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$557.85	$246.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$138.91	$83.31
45378 Diagnostic exam of large bowel using a flexible endoscope	23	22	$412.00	$141.53
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$252.70	$97.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$54.00	$36.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$476.98	$179.28
91010 Study of esophagus to assess movement	16	16	$165.00	$64.85
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$476.13	$159.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	166	$80.44	$67.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$198.59	$136.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	115	$121.28	$99.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	87	$320.86	$92.71
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	67	67	$498.98	$150.80
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	61	61	$208.00	$81.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$133.78	$83.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	41	$55.76	$36.00
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$548.20	$245.76
45378 Diagnostic exam of large bowel using a flexible endoscope	35	34	$401.03	$171.54
99221 Initial hospital inpatient care per day, typically 30 minutes	29	29	$252.70	$100.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$477.03	$172.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	16	$97.75	$38.13
91010 Study of esophagus to assess movement	19	19	$165.00	$65.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$340.55	$135.11
43249 Balloon dilation of esophagus using an endoscope	13	13	$565.05	$154.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$476.13	$163.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	130	$78.35	$51.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	86	$122.17	$79.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$196.60	$130.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	65	$284.02	$92.17
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	54	54	$469.80	$186.77
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	46	45	$208.00	$83.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$144.03	$76.36
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$380.00	$174.83
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$523.62	$251.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$54.00	$26.14
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$252.70	$103.16
91010 Study of esophagus to assess movement	13	13	$165.00	$66.89
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$477.03	$159.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	146	$79.22	$50.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	117	$121.26	$77.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$196.55	$127.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	76	$855.53	$102.11
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	51	51	$929.75	$164.86
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	51	51	$208.00	$83.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$129.54	$75.45
45378 Diagnostic exam of large bowel using a flexible endoscope	42	42	$660.39	$167.93
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$1066.78	$256.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$54.00	$25.25
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$252.70	$100.43
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$477.03	$184.87
91010 Study of esophagus to assess movement	22	22	$165.00	$66.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$97.75	$38.98
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$85.20	$50.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$340.55	$135.46
49650 Repair of groin hernia using an endoscope	12	12	$1110.82	$522.04
47562 Removal of gallbladder using an endoscope	11	11	$1656.00	$666.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	181	$78.24	$50.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	137	$119.80	$76.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	133	126	$841.81	$99.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$196.25	$126.82
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	84	80	$1141.52	$195.47
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	76	73	$208.00	$83.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$54.00	$24.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$131.28	$75.26
45378 Diagnostic exam of large bowel using a flexible endoscope	46	44	$854.63	$168.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$330.27	$134.11
91010 Study of esophagus to assess movement	25	23	$165.00	$69.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$564.22	$171.41
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$241.96	$99.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1258.30	$251.85
47562 Removal of gallbladder using an endoscope	14	14	$1656.00	$656.91
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2281.05	$338.03
43249 Balloon dilation of esophagus using an endoscope	13	13	$1470.91	$121.67
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$116.35	$34.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	145	$78.00	$49.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	126	$119.82	$76.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$196.86	$126.76
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	66	65	$580.23	$105.07
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	61	60	$14.05	$5.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$129.20	$74.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	56	$689.17	$114.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	53	$54.00	$24.86
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	47	47	$208.00	$81.15
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	36	36	$208.00	$82.43
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	34	32	$1050.00	$201.39
91010 Study of esophagus to assess movement	25	25	$165.00	$65.86
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	25	25	$14.05	$5.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$304.00	$129.53
91010 Study of esophagus to assess movement	25	25	$165.00	$65.86
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$1060.21	$152.94
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	22	22	$994.75	$178.05
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$85.20	$49.49
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$1085.00	$143.46
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$222.00	$99.15
49650 Repair of groin hernia using an endoscope	11	11	$1213.64	$539.61

Medical Specialties & State Licenses

CMS Verified: 2021-03-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35123548

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 44608

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 051144

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100114270 (KY)

Medicaid State Provider ID

1514519 (TN)

Commercial Insurance / Payer ID Amerigroup

01307453 (TN)

Commercial Insurance / Payer ID Bcbs

4233685 (TN)

Commercial Insurance / Payer ID Tricare North

203500913010 (TN)

Hospital & Practice Group Affiliations

Knox Community Hospital

1330 Coshocton Ave, Mount Vernon, OH 430501440

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Ali Salim , MD

Internal Medicine

NPI 1003838087

Doctor of Medicine (M.D.)

Kori Kirkhope , APRN

Nurse Practitioner

NPI 1033466545

Advanced Practice Registered Nurse

Gilford Vincent

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1043251218

Dr. Abigail Elliott , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1053686725

Doctor of Podiatric Medicine

Laura Eichenlaub , NP-C

Nurse Practitioner - Family

NPI 1063870715

Nurse Practitioner (Certified)

Elizabeth Powell , FNP-C, RN, ATC

Nurse Practitioner

NPI 1063934081

Family Nurse Practitioner (Certified), Registered Nurse, Certified Athletic Trainer

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 17, 2021

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 430501440 (Tel: 7403939000)

✅

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2014

Registered at 1451 YAUGER RD, STE 2A, MOUNT VERNON, OH 430508097 (Tel: 7403939024)

📍

Updated Business Mailing Address July 11, 2014

Registered at 1330 COSHOCTON AVE, MOUNT VERNON, OH 430501440 (Tel: 7403939024)

👤

Provider Name / Credentials Updated July 11, 2014

Recorded as MICHAEL HEUMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Surgery (License #35123548 in OH)

🟢

Initial NPI Registration & Enumeration October 12, 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: 1457349680

Entity Type:

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

Enumeration Date: October 12, 2005

Last Update: March 17, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1330 Coshocton Ave

Mount Vernon, OH 430501440

Phone: 7403939000

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.