Active NPI 1285645085 Individual Practitioner Male Practitioner

Dr. Paul E Heasley , MD

Internal Medicine • Albany, NY

Professional Overview & Biography Verified Profile Summary

Dr. Paul Heasley, MD is a registered healthcare professional specializing in Internal Medicine in Albany, NY. Practice services are available at 445 NEW KARNER RD under active NPI credentials.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

445 New Karner Rd

Albany, NY 122053809

Telephone 5182858192

Associated Practice Facility / Clinic

🏢 The Community Hospice Inc Facility NPI 1588631733

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Albany, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.1 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

175 Specialists

Practicing in Albany, NY (12979 Statewide)

Telehealth Adoption Rate

12.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$227.00	$126.52
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	12	12	$253.00	$124.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	76	43	$81.00	$40.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	34	$105.00	$52.34
M0201 Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home	17	17	$45.00	$34.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	19	$81.00	$40.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	113	51	$81.00	$40.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	56	50	$105.00	$51.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	196	178	$305.00	$188.39
99497 Advance care planning, first 30 minutes	174	135	$125.00	$73.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	90	$110.00	$67.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	108	87	$60.00	$36.26
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	88	60	$81.00	$40.18
99498 Advance care planning by the physician or other qualified health care professional	87	73	$125.00	$68.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	87	81	$215.00	$127.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	62	62	$305.00	$186.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	41	$155.00	$97.46
99221 Initial hospital inpatient care per day, typically 30 minutes	39	36	$150.00	$89.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	22	$105.00	$51.89
99497 Advance care planning, first 30 minutes	23	20	$125.00	$78.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$240.00	$152.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	16	$215.00	$134.85
99498 Advance care planning by the physician or other qualified health care professional	15	12	$125.00	$69.78
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$110.00	$67.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$160.00	$100.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	131	62	$82.98	$39.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	21	$120.65	$51.76

Medical Specialties & State Licenses

CMS Verified: 2021-05-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 160808

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Hospice and Palliative Medicine

NUCC Taxonomy Code: 207RH0002X

State License NY 160808

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01020048 (NY)

Secondary Practice Locations

7 Southwoods Blvd

Albany, NY 122112514

Phone: 5182858150

43 New Scotland Ave

Albany, NY 122083412

Phone: 5182858150

400 Patroon Creek Blvd

Albany, NY 122065013

Phone: 5182858150

63 Shaker Rd Ste G02

Albany, NY 122041030

Phone: 5182858150

258 Hoosick St Ste 206

Troy, NY 121802450

Phone: 5182858150

79 Vandenburgh Ave

Troy, NY 121806024

Phone: 5182858150

600 Northern Blvd

Albany, NY 122041004

Phone: 5182858150

720 Hoosick Rd

Troy, NY 121806673

Phone: 5182858150

2215 Burdett Ave

Troy, NY 121802466

Phone: 5182858150

317 S Manning Blvd Ste 220

Albany, NY 122083909

Phone: 5182858150

317 S Manning Blvd Ste 100

Albany, NY 122083917

Phone: 5182858150

147 Hoosick St

Troy, NY 121802393

Phone: 5182858150

433 River St Ste 3000

Troy, NY 121802250

Phone: 5182795700

315 S Manning Blvd

Albany, NY 122081707

Phone: 5182858150

2 Palisades Dr

Albany, NY 122051438

Phone: 5182858192

1700 Riverfront Ctr

Amsterdam, NY 120104620

Phone: 5182858150

55 Mohawk St Ste 105

Cohoes, NY 120472600

Phone: 5182858150

1300 Massachusetts Ave

Troy, NY 121801628

Phone: 5182858150

1101 Nott St

Schenectady, NY 123082425

Phone: 5182858150

896 Riverview Rd

Rexford, NY 121481318

Phone: 5182858150

279 Troy Rd

Rensselaer, NY 121449518

Phone: 5182858150

69 Prospect Ave

Hudson, NY 125342907

Phone: 5182858150

3 Crossing Blvd Ste 1

Halfmoon, NY 120654172

Phone: 5182858150

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. George Giokas , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1093745002

Doctor of Medicine (M.D.)

Dr. Alice Kolasa , DO

Family Medicine - Hospice and Palliative Medicine

NPI 1225046279

Doctor of Osteopathic Medicine (D.O.)

Dr. Harneet Singh , MD

Internal Medicine

NPI 1295264893

Doctor of Medicine (M.D.)

Jennifer Schmidt , NP

Nurse Practitioner - Adult Health

NPI 1649688540

Nurse Practitioner

Dr. Maria Pesquera , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1689981920

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2021

Internal Medicine (License #160808 in NY)

📍

Updated Practice Location March 22, 2019

Registered at 445 NEW KARNER RD, ALBANY, NY 122053809 (Tel: 5182858192)

✅

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2017

Registered at 295 VALLEY VIEW BLVD, RENSSELAER, NY 121449307 (Tel: 5182858150)

📍

Updated Business Mailing Address January 25, 2017

Registered at PO BOX 14890, ST. PETER'S HEALTH PARTNERS PAYER CREDENTIALING, ALBANY, NY 122124890 (Tel: 5185255634)

👤

Provider Name / Credentials Updated January 25, 2017

Recorded as PAUL HEASLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Internal Medicine (License #160808 in NY)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1208 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153592640)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1208 DRIVING PARK AVE, NEWARK, NY 145131057 (Tel: 3153592640)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL HEASLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #160808 in NY)

🟢

Initial NPI Registration & Enumeration August 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285645085

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 10, 2006

Last Update: May 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14890, St. Peter's Health Partners Payer Credentialing

Albany, NY 122124890

Phone: 5185255634

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.