Quick answers
- Does James A. Heinrich accept Medicare assignment?
- Yes. Medicare's clinician data says James A. Heinrich accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does James A. Heinrich see?
- In 2024, CMS data shows 273 Original Medicare patients and 1,999 services for James A. Heinrich. This counts Original Medicare only and measures volume, not quality.
- What is James A. Heinrich's NPI number?
- 1053321000. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for James A. Heinrich, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 273 |
|---|---|
| Services billed to Medicare | 1,999 |
| Different services or procedures | 123 |
| Participating Medicare provider | Yes |
| Average age of these patients | 76 |
Most frequent services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)567 services
- Destruction of precancer skin growth, 15 or more growths (17004)86 services
- Destruction of precancer skin growth, 2-14 growths (17003)77 services
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (13132)64 services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)61 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High cholesterol73%
- High blood pressure63%
- Arthritis49%
- Diabetes23%
- Ischemic heart disease23%
- Atrial fibrillation22%
Hospitals where James A. Heinrich works
Medicare's Facility Affiliation Data lists James A. Heinrich at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Providence Mission HospitalMission Viejo, CA · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 050567
Practice locations
Addresses where James A. Heinrich is enrolled with Medicare (CMS data updated October 2, 2026).
- 26730 Crown Valley Pkwy, Suite 250Mission Viejo, CA 92691
Specialties
- Otolaryngologyprimary
Other ENT doctors in California
Clinicians with the same Medicare primary specialty in California — not a recommendation.
Clinician information
| Medical school | Loma Linda University School Of Medicine |
|---|---|
| Graduation year | 1988 (38 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1053321000 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians