Active NPI 1467603175 Individual Practitioner Male Practitioner

Dr. Phillip B Heyse , MD

Surgery • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Heyse, MD is a certified Surgery practicing in Dayton, OH. With approximately 18 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2008, Dr. Heyse delivers high-quality medical care to the local community at 1 ELIZABETH PL.

Dr. Heyse is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, creation of brain fluid drainage shunt. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Elizabeth Pl
Suite 10 A

Dayton, OH 454173445

Telephone 9372284126

Fax 9372280247

Associated Practice Facility / Clinic

🏢 Dayton Rehabilitation Institute, Llc Facility NPI 1619966231

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dayton, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.1 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

68 Specialists

Practicing in Dayton, OH (1313 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heyse (18 Years) 18 Yrs

Dayton Specialty Average (22.1 Years) 22.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	57	$242.00	$126.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	29	$119.00	$77.46
62223 Creation of brain fluid drainage shunt	22	22	$1925.00	$621.96
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$138.00	$84.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$92.00	$51.85
49422 Removal of abdominal cavity catheter	15	14	$803.00	$125.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$292.00	$166.41
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$146.00	$82.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99	50	$119.00	$76.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	57	$242.00	$123.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$338.00	$167.81
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$138.00	$80.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	14	$92.00	$51.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$292.00	$151.95
36818 Relocation of arm vein with connection to arm artery, open procedure	17	17	$1570.00	$598.78
62223 Creation of brain fluid drainage shunt	14	13	$1925.00	$592.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	77	$119.00	$69.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	69	$242.00	$131.20
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$138.00	$87.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$292.00	$156.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	22	$73.00	$37.72
49324 Insertion of abdominal cavity catheter using an endoscope	23	22	$733.00	$371.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$338.00	$192.36
99238 Hospital discharge day management, 30 minutes or less	20	20	$151.00	$62.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$92.00	$52.69
36818 Relocation of arm vein with connection to arm artery, open procedure	16	15	$1570.00	$630.77
49422 Removal of abdominal cavity catheter	13	13	$803.00	$163.13
43246 Insertion of stomach tube using a flexible endoscope	12	12	$516.00	$172.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	44	$119.00	$70.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	47	$73.00	$37.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	60	$242.00	$132.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	24	$92.00	$51.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$292.00	$157.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$338.00	$196.35
49324 Insertion of abdominal cavity catheter using an endoscope	22	20	$733.00	$386.10
43246 Insertion of stomach tube using a flexible endoscope	20	19	$516.00	$119.78
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$138.00	$84.55
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$146.00	$99.48
36818 Relocation of arm vein with connection to arm artery, open procedure	18	17	$1570.00	$606.27
99238 Hospital discharge day management, 30 minutes or less	14	14	$151.00	$70.40
31600 Opening of windpipe through neck for insertion of breathing tube	12	11	$1196.00	$309.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	54	$73.00	$38.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	37	$119.00	$71.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	47	$242.00	$134.49
36821 Relocation of arm vein with connection to arm artery, open procedure	28	25	$1195.00	$625.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$338.00	$201.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$170.00	$103.56
43246 Insertion of stomach tube using a flexible endoscope	21	21	$516.00	$126.34
31600 Opening of windpipe through neck for insertion of breathing tube	17	17	$1196.00	$295.56
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$111.00	$72.71
49324 Insertion of abdominal cavity catheter using an endoscope	14	14	$733.00	$399.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$81.00	$43.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$292.00	$160.98
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$146.00	$101.76
99220 Hospital observation care, typically 70 minutes	11	11	$338.00	$183.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	133	47	$73.00	$36.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$119.75	$65.16
99221 Initial hospital inpatient care per day, typically 30 minutes	26	24	$146.00	$99.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$81.00	$40.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$242.00	$127.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$205.00	$103.80
43246 Insertion of stomach tube using a flexible endoscope	15	15	$516.00	$130.43
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$111.00	$71.24
31600 Opening of windpipe through neck for insertion of breathing tube	11	11	$1196.00	$289.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$338.00	$197.71
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$4647.00	$959.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	45	$73.00	$34.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$242.00	$127.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$81.00	$41.91
99221 Initial hospital inpatient care per day, typically 30 minutes	15	13	$146.00	$99.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$119.00	$65.88
31600 Opening of windpipe through neck for insertion of breathing tube	11	11	$1196.00	$291.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	30	$117.10	$70.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	34	$227.68	$133.62
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$116.40	$69.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$177.71	$103.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$89.80	$41.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$275.53	$148.72
49324 Insertion of abdominal cavity catheter using an endoscope	12	11	$652.00	$355.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$365.18	$197.76
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	11	11	$2765.18	$893.77

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.095783

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

450 N Hyatt St, Tipp City, OH 453711433

Phone: 9378324773

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092722

Premier Health Specialists Inc

1 Wyoming St, Dayton, OH 454092939

Phone: 9374394381

Premier Health Specialists Inc

2400 Miami Valley Dr, Centerville, OH 454594774

Premier Health Specialists Inc

30 E Apple St, Dayton, OH 454092939

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Philip Williams , MD

Surgery - Vascular Surgery

NPI 1023082401

Doctor of Medicine (M.D.)

Dr. William Rundell , MD

Surgery - Vascular Surgery

NPI 1174595748

Doctor of Medicine (M.D.)

Dr. Alyssa Bonta , MD

Surgery - Vascular Surgery

NPI 1215227004

Doctor of Medicine (M.D.)

Dr. Louisa Pecchioni , MD

Surgery - Vascular Surgery

NPI 1407032865

Doctor of Medicine (M.D.)

Jennifer Sundstrom , CNP

Nurse Practitioner - Primary Care

NPI 1528420650

Certified Nurse Practitioner

Dr. Raquel Vicario Feliciano , MD

Surgery - Vascular Surgery

NPI 1548724214

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 12, 2016

Registered at 1 ELIZABETH PL, SUITE 10 A, DAYTON, OH 454173445 (Tel: 9372284126)

📍

Updated Business Mailing Address January 12, 2016

Registered at 1 ELIZABETH PL, SUITE 10 A, DAYTON, OH 454173445 (Tel: 9372284126)

👤

Provider Name / Credentials Updated January 12, 2016

Recorded as PHILLIP HEYSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2016

Surgery (License #35.095783 in OH)

🟢

Initial NPI Registration & Enumeration October 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467603175

Entity Type:

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

Enumeration Date: October 01, 2008

Last Update: January 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Elizabeth Pl, Suite 10 A

Dayton, OH 454173445

Phone: 9372284126

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.