What is James Heald's specialty?

James Heald (NPI 1619031739) is a Medicare-billing provider whose primary specialty is Pathology in West Chester, PA.

Where does James Heald practice?

James Heald practices in West Chester, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1619031739.

How much does Medicare pay James Heald?

James Heald (NPI 1619031739) received approximately $56K in total Medicare Part B payments, serving 682 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1619031739

James HealdM.D.

PRACTICECHESTER COUNTY HOSPITALSee all providers at this practice →

PathologyWest Chester, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,092

Unique beneficiaries

—

Total services

1,822

Distinct HCPCS

Medicare payment

$53K

Peer benchmark

Total Medicare services vs. 593 Pathology providers in PA — above median (cohort median 1,465).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

90.9

Quality

92.5

Cost

79.5

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.67%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Heald's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 67 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
CHESTER COUNTY HOSPITAL	676	1,393
Barry Smoger Diagnostic Radiology · Philadelphia, PA	136	201
William Barry Diagnostic Radiology · West Chester, PA	103	129
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	75	120
David Bobman Gastroenterology · West Chester, PA	51	126
Rajesh Patel Pulmonary Disease · Media, PA	50	179
Matthew Baichi Gastroenterology · West Chester, PA	45	89
Umer Saleem Cardiology · Cheyenne, WY	45	57
ASHTON, WILLIAM	44	51
Jeffrey Gramp Diagnostic Radiology · Radnor, PA	42	47
Marc Romisher Anesthesiology · King Of Prussia, PA	41	42
Reina Bender Gastroenterology · Westchester, PA	41	96

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events