Medicare Enrolled

Dr. Mark Heimmel, MD

Ophthalmology · East Windsor, NJ
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
300B PRINCETON HIGHTSTOWN RD STE 207, East Windsor, NJ 08520
6097563900
In practice since 2007 (19 years)
NPI: 1942427125 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Heimmel from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Heimmel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Heimmel

Dr. Mark Heimmel is an ophthalmology specialist in East Windsor, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Heimmel performed 3,835 Medicare services across 2,756 unique beneficiaries.

Between the years covered by Open Payments, Dr. Heimmel received a total of $2,261 from 28 pharmaceutical and/or device companies across 84 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Heimmel is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 26% volume in NJ $2,261 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,835
Medicare services
Top 26% in NJ for ophthalmology
2,756
Unique beneficiaries
$107
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~202 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Comprehensive eye exam, established patient
A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider.
865 $104 $221
Retinal imaging (OCT scan)
This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye.
662 $34 $144
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
550 $31 $151
Cataract surgery with lens implant
Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision.
213 $448 $2,233
Corneal topography and eye depth measurement
This procedure measures the curvature and depth of the cornea, the clear front surface of the eye.
202 $39 $193
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
191 $127 $311
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
134 $30 $114
CT scan of cornea
A computed tomography scan used to create detailed images of the cornea, the clear front part of the eye.
130 $29 $109
Eye injection for retinal disease
A procedure involving the administration of medication directly into the eye.
127 $97 $558
Eye exam, established patient, focused
A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom.
120 $75 $147
Comprehensive eye exam, new patient
A comprehensive examination of the visual system performed for a new patient.
102 $111 $250
Extended exam of back of eye with optic nerve drawing
A detailed examination of the posterior section of the eye, including the optic nerve, with documentation through drawing.
94 $13 $125
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
83 $55 $168
Complex cataract removal with lens implant
A surgical procedure to remove a cataract from the eye and insert an artificial lens to restore vision.
77 $581 $2,797
Tear duct plug insertion
A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface.
69 $182 $409
Bevacizumab injection, 10 mg
Administration of a 10 mg dose of bevacizumab medication via injection.
49 $57 $838
Laser removal of recurring cataract
A laser procedure to remove a recurring cataract within the lens capsule.
48 $294 $820
Incision to improve eye fluid flow
A surgical procedure involving an incision to enhance the drainage of fluid within the eye.
32 $704 $2,576
Ultrasound scan of cornea to determine thickness
An ultrasound procedure used to measure the thickness of the cornea.
26 $9 $83
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
26 $24 $69
Eyelid growth removal
A procedure to remove a growth from the eyelid.
21 $294 $750
Nasal tear duct probing
A procedure to examine and clear the tear ducts in the nose. It helps restore normal drainage of tears from the eye.
14 $170 $526
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
5.6% high complexity
29.4% medium
65.0% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$2,261
Total received (2018-2024)
Avg $323/year across 7 years
Top 35% in NJ for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
84
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,261 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$114
2023
$120
2022
$353
2021
$80
2020
$111
2019
$229
2018
$1,256

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
RxSight Inc
$57
Dompe US, Inc.
$17
Ocular Therapeutix, Inc.
$16
Alcon Vision LLC
$13
NEW WORLD MEDICAL,INC.
$11
Top 3 companies account for 78.6% of 2024 payments
All-time payments by company (2018-2024) ›
Johnson & Johnson Surgical Vision, Inc.
$992
Shire North American Group Inc
$188
Alcon Vision LLC
$173
Novartis Pharmaceuticals Corporation
$167
BioTissue Holdings, Inc.
$140
Bausch & Lomb, a division of Bausch Health US, LLC
$86
Genentech USA, Inc.
$64
RxSight Inc
$57
ABBVIE INC.
$46
Apellis Pharmaceuticals, Inc.
$35
Bausch & Lomb Americas Inc.
$31
Regeneron Healthcare Solutions, Inc.
$25
CooperVision Inc.
$23
BIOTISSUE HOLDINGS, INC.
$21
EYEVANCE PHARMACEUTICALS LLC
$21
Alimera Sciences, Inc.
$18
Horizon Therapeutics plc
$17
Dompe US, Inc.
$17
Ocular Therapeutix, Inc.
$16
Omeros Corporation
$15
Aerie Pharmaceuticals, Inc.
$15
Oyster Point Pharma, Inc.
$15
Sight Sciences, Inc.
$15
Allergan, Inc.
$14
EyePoint Pharmaceuticals US, Inc.
$14
Allergan Inc.
$13
Sun Pharmaceutical Industries Inc.
$12
NEW WORLD MEDICAL,INC.
$11
Top 3 companies account for 59.8% of all-time payments
Associated products mentioned in payments ›
ACTIVEFOCUS · ALPHAGAN P · AcrySof · BEOVU · BESIVANCE · Clareon · Clariti Contact Lens · DEXTENZA · DEXYCU · DUREZOL · DURYSTA · EYLEA · ILUVIEN · Kahook Dual Blade · LUMIGAN · Lucentis · OMNI · OXERVATE · Omidria · PROKERA · PROLENSA · RXSIGHT CONTACT LENS · Simbrinza · TEPEZZA · TRAVATAN Z · TYRVAYA · Tecnis 1-piece IOL · Tecnis IOL · TobraDex ST · VYZULTA · Wavelight · Wavelight Refractive Suite · XELPROS · XIIDRA · enVista MX60 IOL · rhopressa
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an ophthalmology specialist in East Windsor?
Compare ophthalmologists in the East Windsor area by procedure volume, costs, and industry payment transparency.
Browse ophthalmologists nearby

Geographic Context

Ophthalmologists within 10 mi
186
Per 100K population
48.5
County median income
$96,333
Nearest hospital
UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO
5.9 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Heimmel is a mixed practice specialist, with above-average Medicare volume (top 26% in NJ), with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Heimmel experienced with comprehensive eye exam, established patient?
Based on Medicare claims data, Dr. Heimmel performed 865 comprehensive eye exam, established patient services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Heimmel receive payments from pharmaceutical companies?
Yes. Dr. Heimmel received a total of $2,261 from 28 companies across 84 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Heimmel's costs compare to other ophthalmologists in East Windsor?
Dr. Heimmel's average Medicare payment per service is $107. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Heimmel) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →