James R. Heaberlin, M.D.
NPI 1043604960ActiveIndividual· Orthopaedic Surgery, Hand Surgery· Wauwatosa, WI
Orthopaedic Surgery, Hand Surgery (M.D.) in Wauwatosa, Wisconsin, trained at University of Texas Medical School at San Antonio (class of 2015). 235 Medicare patients in 2024, $48,655 paid; all of their 54 Part D prescriptions were generic.
Overview
| NPI | 1043604960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 28, 2015 |
| Last updated in NPPES | Aug 12, 2024 |
| Certified by provider | Aug 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Hand Surgery Primary | 207XS0106X | 75451 | WI |
| Orthopaedic Surgery | 207X00000X | 75451 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 235 |
|---|---|
| Services billed | 720 across 44 procedure codes |
| Paid by Medicare | $48,655 |
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 55 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $364.86 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Aurora Advanced Healthcare, Inc.Milwaukee, WI · 1,124 clinicians
Hospital affiliations
- Aurora Medical CenterGrafton, WI
- Aurora Medical Ctr Washington CountyHartford, WI
- Aurora St Lukes Medical CenterMilwaukee, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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