Active NPI 1154343556 Individual Practitioner Male Practitioner

Dr. Michael S Heinle , MD

Internal Medicine • Beaver, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Heinle, MD is a certified Internal Medicine practicing in Beaver, PA. With approximately 36 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1990, Dr. Heinle delivers high-quality medical care to the local community at 1211 3RD ST.

Dr. Heinle is affiliated with Heritage Valley Multispecialty Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 3rd St

Beaver, PA 150092530

Telephone 7247700990

Fax 7247740992

Associated Practice Facility / Clinic

🏢 Tri - State Medical Group, Inc. Facility NPI 1578756318

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Beaver, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +11.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

19 Specialists

Practicing in Beaver, PA (7609 Statewide)

Telehealth Adoption Rate

15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heinle (36 Years) 36 Yrs

Beaver Specialty Average (24.6 Years) 24.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	238	$248.00	$121.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	147	130	$32.00	$15.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$319.00	$122.57
G0008 Administration of influenza virus vaccine	75	73	$36.00	$30.77
90662 Influenza vaccine split virus, preservative free	71	69	$163.00	$81.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	29	15	$123.00	$59.47
99496 Transitional care management services for problem of high complexity	26	22	$508.88	$263.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	14	$48.00	$13.46
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	13	11	$226.00	$50.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	272	$204.11	$122.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$319.00	$123.15
G0008 Administration of influenza virus vaccine	89	88	$35.87	$29.45
90662 Influenza vaccine split virus, preservative free	85	84	$162.12	$71.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	16	$48.00	$13.45
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	24	19	$226.00	$49.68
99496 Transitional care management services for problem of high complexity	20	19	$507.65	$263.66
G0009 Administration of pneumococcal vaccine	18	18	$36.00	$29.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$659.50	$282.20
99495 Transitional care management services for problem of at least moderate complexity	12	12	$363.00	$194.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	480	277	$153.37	$124.59
G0008 Administration of influenza virus vaccine	93	91	$35.94	$28.29
90662 Influenza vaccine split virus, preservative free	90	88	$88.00	$68.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$319.00	$126.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	14	$48.00	$13.82
99496 Transitional care management services for problem of high complexity	17	14	$500.41	$269.27
99495 Transitional care management services for problem of at least moderate complexity	12	12	$363.00	$184.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	278	$153.54	$127.03
G0008 Administration of influenza virus vaccine	78	77	$35.92	$16.40
90662 Influenza vaccine split virus, preservative free	77	76	$88.00	$65.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$319.00	$129.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	33	$199.15	$177.60
99496 Transitional care management services for problem of high complexity	28	21	$513.00	$272.07
G0009 Administration of pneumococcal vaccine	19	19	$35.05	$16.41
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	15	15	$226.00	$51.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	376	235	$157.91	$106.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	121	115	$196.81	$143.69
G0008 Administration of influenza virus vaccine	88	87	$35.93	$16.23
99443 Telephone medical discussion with physician, 21-30 minutes	70	67	$165.13	$104.09
90662 Influenza vaccine split virus, preservative free	60	60	$88.00	$60.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$319.00	$111.49
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$115.12	$71.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	13	$48.00	$13.86
G0009 Administration of pneumococcal vaccine	21	21	$34.57	$16.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$19.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$315.00	$115.92
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$17.48
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	13	11	$226.00	$52.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,080	11	$31.44	$18.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	547	303	$150.67	$106.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$315.08	$113.59
G0008 Administration of influenza virus vaccine	118	118	$35.90	$15.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	110	99	$190.56	$143.38
90662 Influenza vaccine split virus, preservative free	109	109	$88.00	$54.89
G0009 Administration of pneumococcal vaccine	48	48	$34.13	$15.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	21	$46.65	$16.25
90670 Pneumococcal vaccine for injection into muscle	33	33	$243.64	$207.08
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$281.22	$110.87
99495 Transitional care management services for problem of at least moderate complexity	14	13	$355.14	$160.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	499	244	$145.73	$103.96
G0008 Administration of influenza virus vaccine	117	116	$33.93	$19.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	89	$184.42	$141.95
90662 Influenza vaccine split virus, preservative free	104	104	$85.00	$52.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$281.27	$113.03
G0009 Administration of pneumococcal vaccine	37	37	$33.16	$19.57
90670 Pneumococcal vaccine for injection into muscle	31	31	$236.61	$192.16
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$109.27	$68.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	16	$44.63	$19.70
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	13	$28.79	$17.48
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	12	11	$214.33	$52.09
J1040 Injection, methylprednisolone acetate, 80 mg	11	11	$44.18	$12.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	218	$140.46	$103.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	187	163	$178.95	$139.87
G0008 Administration of influenza virus vaccine	115	114	$32.90	$24.05
90662 Influenza vaccine split virus, preservative free	76	76	$82.00	$48.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$167.46	$111.44
G0009 Administration of pneumococcal vaccine	49	49	$31.39	$24.05
90670 Pneumococcal vaccine for injection into muscle	46	46	$229.50	$186.32
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	39	39	$27.95	$17.48
99496 Transitional care management services for problem of high complexity	29	24	$475.76	$222.62
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	19	16	$207.95	$51.81

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD049366L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0014990190001 (PA)

Hospital & Practice Group Affiliations

Heritage Valley Multispecialty Group Inc

500 Sharon Rd, Beaver, PA 150091957

Phone: 7247288751

Heritage Valley Multispecialty Group Inc

1211 3rd St, Beaver, PA 150092530

Phone: 7247700990

Practice Associates & Co-Workers

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

3 Associated Practitioners

Martha Pickrell , PA-C

Physician Assistant

NPI 1033128582

Physician Assistant (Certified)

Susan Frank , CRNP

Nurse Practitioner

NPI 1336254838

Certified Registered Nurse Practitioner

Dr. Monica Farland , MD

Internal Medicine

NPI 1700808136

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 September 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2015

Registered at 1211 3RD ST, BEAVER, PA 150092530 (Tel: 7247700990)

📍

Updated Business Mailing Address September 16, 2015

Registered at 1211 3RD ST, BEAVER, PA 150092530 (Tel: 7247700990)

👤

Provider Name / Credentials Updated September 16, 2015

Recorded as MICHAEL HEINLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2015

Internal Medicine (License #MD049366L in PA)

🟢

Initial NPI Registration & Enumeration July 24, 2006

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: 1154343556

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: September 16, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1211 3rd St

Beaver, PA 150092530

Phone: 7247700990

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.