Physician

Craig Stephen Heinly, M.D.

According to 2025 Medicare claims, Craig Heinly, M.D. (NPI: 1376596379) practices dermatology in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Person, NC. This provider's primary affiliated billing organization is TRIANGLE DERMATOLOGY ASSOCIATES PA (NPI: 1871547364; TIN: 560960506) and primary practice location at 27574-7825.

Heinly's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,041 traditional Medicare patients, billed 3,707 HCPCS/CPT codes, and received $215,925 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,204 prescription claims across 419 beneficiaries totaling $618,751 in drug costs, led by Humira Pen (Adalimumab). No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $213,235 to $618,751. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$121K$242K2015 Medicare payment: $224,796 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $204,813 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $194,588 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $205,275 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $232,910 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $213,679 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $233,509 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $241,765 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $216,479 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $215,925 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,3014,653$224,796
20161,2454,334$204,813
20171,1924,267$194,588
20181,0984,088$205,275
20191,1884,334$232,910
20201,1163,721$213,679
20211,1584,057$233,509
20221,1084,353$241,765
20231,1094,102$216,479
20241,0413,707$215,925

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$313K$625K2015 Drug cost: $213,235 (USD; Tot_Drug_Cst)2016 Drug cost: $199,988 (USD; Tot_Drug_Cst)2017 Drug cost: $278,640 (USD; Tot_Drug_Cst)2018 Drug cost: $283,844 (USD; Tot_Drug_Cst)2019 Drug cost: $225,117 (USD; Tot_Drug_Cst)2020 Drug cost: $336,449 (USD; Tot_Drug_Cst)2021 Drug cost: $444,115 (USD; Tot_Drug_Cst)2022 Drug cost: $492,760 (USD; Tot_Drug_Cst)2023 Drug cost: $625,468 (USD; Tot_Drug_Cst)2024 Drug cost: $618,751 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015353890$213,235
2016351936$199,988
20174031,002$278,640
2018392979$283,844
20193991,040$225,117
20204061,169$336,449
20213951,115$444,115
20223951,036$492,760
20233931,110$625,468
20244191,204$618,751

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more239286$75
11102Biopsy of related skin growth, first growth279341$64
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more741853$57
17000Destruction of precancer skin growth, 1 growth416523$34
17003Destruction of precancer skin growth, 2-14 growths227706$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira PenAdalimumab24688$167,105
Cosentyx Sensoready (2 Pens)Secukinumab21588$156,496
Dupixent PenDupilumab12336$47,779
Clobetasol PropionateClobetasol Propionate1344,203$6,981
MetronidazoleMetronidazole702,664$5,429

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Craig Stephen Heinly, M.D.?

Tedicare shows public-source Medicare data for Craig Stephen Heinly, M.D. (NPI 1376596379), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Craig Stephen Heinly, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Craig Stephen Heinly, M.D.?

Craig Stephen Heinly, M.D. is linked to TRIANGLE DERMATOLOGY ASSOCIATES PA (billing NPI 1871547364) in the available physician profile data.

Does Craig Stephen Heinly, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.