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Deactivated NPI 1447449368 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Carlton Heitsch , MD, MPH, FACS

General Practice • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Heitsch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2007
NPI Deactivation Date June 26, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Heitsch, MD, MPH, FACS was a registered General Practice practicing in Portland, OR. Throughout an active medical career spanning 18 years, Dr. Heitsch provided care at the practice location at 163 NE 102ND AVE until profile deactivation on 2025-06-26.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

163 Ne 102nd Ave
Building V

Portland, OR 972204169

Telephone 5032573327
Fax 5032573374
Associated Practice Facility / Clinic
🏢 Integrated Medicine Group Llc Facility NPI 1033249404

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.5 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
21 Specialists

Practicing in Portland, OR (106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
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
85 27 $215.00 $111.23

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OR 11610

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Andrew Shonk

Massage Therapist

NPI 1487178711
Martha Smith , LMT

Massage Therapist

NPI 1861727661

Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2008

Registered at 163 NE 102ND AVE, BUILDING V, PORTLAND, OR 972204169 (Tel: 5032573327)

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Updated Business Mailing Address January 22, 2008

Registered at 163 NE 102ND AVE, BUILDING V, PORTLAND, OR 972204169 (Tel: 5032573327)

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Provider Name / Credentials Updated January 22, 2008

Recorded as RICHARD HEITSCH, MD, MPH, FACS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

General Practice (License #11610 in OR)

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Initial NPI Registration & Enumeration October 16, 2007

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: 1447449368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2007
Last Update: January 22, 2008
Deactivation Date: June 26, 2025

Mailing Address

163 Ne 102nd Ave, Building V

Portland, OR 972204169

Phone: 5032573327

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.