Doctor profile · Federal record
Dr. Jay Heilmann, O.D.
Optometrist (CMS: Optometry) · Milwaukee, WI
- NPI 1932192440
- Accepts Medicare
- MIPS 91.0 / 100 · 2023
- 35 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1684 N Prospect Ave
Milwaukee, WI 532022408
(414) 271-2020
fax (414) 272-3932
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- January 16, 2008
- Year of graduation
- 1991 — 35 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Wisconsin #2430
- Medicaid
- WI #38583100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1932192440. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,315
Distinct HCPCS
9
Medicare allowed
$135,159
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 610 | 598 | $120 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 220 | 216 | $121 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 145 | 118 | $85 | |
92012 |
Established patient problem focused exam of visual system | 142 | 105 | $85 | |
92134 |
Imaging of retina | 72 | 69 | $38 | |
92133 |
Imaging of optic nerve | 65 | 65 | $35 | |
92004 |
New patient complete exam of visual system | 30 | 30 | $143 | |
92083 |
Exam of visual field with extended testing | 19 | 19 | $59 | |
92250 |
Photography of the retina | 12 | 12 | $35 |
In context: peer comparison
Among 13 peers in Milwaukee Optometrist, average services per provider: 88. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$438
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alcon Vision LLC | 2 | $170.94 | |
| Apellis Pharmaceuticals, INC. | 1 | $125.00 | |
| Bausch & Lomb Americas INC. | 1 | $113.23 | |
| Regeneron Healthcare Solutions, INC. | 1 | $28.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
495
Patients
169
Total drug cost
$72,086
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 151 | 43 | $3,170 |
| Timolol Maleate | Generic | 109 | 37 | $1,257 |
| Prednisolone Acetate | Generic | 48 | 36 | $1,523 |
| Restasis (Cyclosporine) | Brand | 42 | 18 | $48,984 |
| Lumigan (Bimatoprost) | Brand | 26 | 0 | $11,479 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 25 | 20 | $286 |
| Erythromycin (Erythromycin Base) | Brand | 20 | 15 | $235 |
| Fluorometholone | Generic | 15 | 0 | $1,063 |
| Brimonidine Tartrate | Generic | 12 | 0 | $2,373 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 12 | 0 | $466 |
Frequently asked questions
What is Dr. Jay Heilmann's medical specialty?
Dr. Jay Heilmann practices Optometrist in Milwaukee, WI.
Where does Dr. Jay Heilmann practice?
Dr. Jay Heilmann practices at 1684 N Prospect Ave, Milwaukee, WI 532022408. Office phone: 4142712020.
What is Dr. Jay Heilmann's NPI?
Dr. Jay Heilmann's National Provider Identifier (NPI) is 1932192440, issued by NPPES.
Does Dr. Jay Heilmann accept Medicare assignment?
Yes. Dr. Jay Heilmann accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jay Heilmann commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.