Active NPI 1003804162 Individual Practitioner Male Practitioner

Dr. Michael J Heise , MD

Internal Medicine • Mc Murray, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Heise, MD is a certified Internal Medicine practicing in Mc Murray, PA. With approximately 38 years of clinical experience since graduating from Jc Edwards School Of Medicine, Marshall University in 1988, Dr. Heise delivers high-quality medical care to the local community at 160 GALLERY DR STE 300.

Dr. Heise is affiliated with Allegheny Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit, 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

160 Gallery Dr Ste 300

Mc Murray, PA 153172690

Telephone 7249417144

Fax 7249417625

Associated Practice Facility / Clinic

🏢 Allegheny Medical Practice Network Facility NPI 1912972563

Medicare Profile & Education

Medical School

Jc Edwards School Of Medicine, Marshall University

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mc Murray, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +8.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Mc Murray, PA (7609 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heise (38 Years) 38 Yrs

Mc Murray Specialty Average (30.0 Years) 30.0 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	345	40	$307.67	$104.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	92	$367.40	$124.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$373.30	$127.06
99213 Established patient office or other outpatient visit, typically 15 minutes	70	48	$260.63	$87.94
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$528.75	$176.77
G0008 Administration of influenza virus vaccine	11	11	$60.00	$30.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	316	43	$299.24	$104.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	102	$373.32	$123.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$382.21	$125.93
99213 Established patient office or other outpatient visit, typically 15 minutes	85	57	$263.78	$86.35
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	41	23	$428.51	$149.65
99306 Initial nursing facility visit, typically 45 minutes per day	30	28	$530.40	$178.14
G0008 Administration of influenza virus vaccine	15	15	$60.00	$29.45
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$155.00	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	322	41	$262.02	$88.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	82	$366.92	$123.95
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	91	45	$385.37	$130.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$384.43	$127.14
99213 Established patient office or other outpatient visit, typically 15 minutes	73	60	$259.47	$86.55
99306 Initial nursing facility visit, typically 45 minutes per day	39	37	$475.67	$161.30
G0008 Administration of influenza virus vaccine	22	22	$50.00	$28.29
90662 Influenza vaccine split virus, preservative free	22	22	$196.00	$68.54
0124A Fee covid-19 vac 13 res	15	15	$150.00	$37.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	373	40	$257.00	$89.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	91	$370.00	$128.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	91	43	$378.00	$133.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$379.00	$131.23
0003A Adm sarscov2 30mcg/0.3ml 3rd	57	57	$150.00	$38.50
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$261.00	$90.18
99306 Initial nursing facility visit, typically 45 minutes per day	33	30	$467.00	$164.34
G0008 Administration of influenza virus vaccine	28	28	$50.00	$16.40
90662 Influenza vaccine split virus, preservative free	27	27	$183.00	$65.26
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	12	$152.00	$52.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	626	35	$273.00	$91.27
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	121	40	$405.00	$134.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	70	$294.00	$107.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$343.00	$114.97
G0008 Administration of influenza virus vaccine	49	49	$33.00	$16.28
90662 Influenza vaccine split virus, preservative free	48	48	$113.00	$60.98
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$201.00	$74.24
99306 Initial nursing facility visit, typically 45 minutes per day	30	29	$499.00	$167.73
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$221.00	$73.87
G0009 Administration of pneumococcal vaccine	11	11	$33.00	$16.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	708	43	$227.00	$90.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	159	51	$337.00	$133.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	82	$264.00	$105.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$287.00	$113.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	20	$181.00	$72.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	31	$259.00	$103.13
G0008 Administration of influenza virus vaccine	41	41	$27.00	$15.95
90662 Influenza vaccine split virus, preservative free	41	41	$69.68	$54.89
99306 Initial nursing facility visit, typically 45 minutes per day	37	35	$414.00	$164.98
99239 Hospital discharge day management, more than 30 minutes	34	33	$267.00	$105.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$341.00	$135.94
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$179.00	$71.24
G0009 Administration of pneumococcal vaccine	21	20	$27.00	$15.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$505.00	$200.59
99217 Hospital observation care on day of discharge	16	15	$181.00	$72.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$181.00	$111.93
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	13	$156.00	$51.91
99496 Transitional care management services for problem of high complexity	11	11	$578.00	$225.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	711	45	$226.16	$89.83
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	190	55	$335.86	$133.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	90	$259.51	$104.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	53	$256.93	$102.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$284.63	$113.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	31	$179.74	$71.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	47	$340.10	$135.14
99239 Hospital discharge day management, more than 30 minutes	48	44	$265.75	$105.89
G0008 Administration of influenza virus vaccine	44	44	$27.00	$19.57
90662 Influenza vaccine split virus, preservative free	41	41	$65.00	$52.30
99306 Initial nursing facility visit, typically 45 minutes per day	38	33	$413.37	$164.14
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$175.67	$71.22
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	14	$540.29	$215.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$423.00	$166.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	819	53	$222.00	$89.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	224	55	$331.00	$132.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	75	$240.00	$102.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	41	$253.00	$102.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	26	$178.45	$70.75
99306 Initial nursing facility visit, typically 45 minutes per day	43	40	$411.00	$162.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	36	$337.00	$134.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$216.00	$111.44
99239 Hospital discharge day management, more than 30 minutes	36	32	$262.00	$104.98
G0008 Administration of influenza virus vaccine	34	34	$27.00	$24.05
90662 Influenza vaccine split virus, preservative free	32	32	$55.00	$48.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$323.00	$164.95
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	22	$156.00	$51.81
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$164.00	$70.73
99238 Hospital discharge day management, 30 minutes or less	19	19	$177.00	$70.79
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	17	16	$531.00	$214.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	12	$325.00	$127.22
G0009 Administration of pneumococcal vaccine	11	11	$27.00	$24.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$495.00	$198.72

Medical Specialties & State Licenses

CMS Verified: 2020-10-07

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD042242L

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

001237481 (PA)

Hospital & Practice Group Affiliations

Allegheny Clinic

160 Gallery Dr, Mc Murray, PA 153172690

Phone: 7249417144

Secondary Practice Locations

100 Medical Blvd

Canonsburg, PA 153179762

Phone: 7249417144

Practice Associates & Co-Workers

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

10 Associated Practitioners

Timothy Hohman , CRNP

Nurse Practitioner - Family

NPI 1063768810

Certified Registered Nurse Practitioner

Jenice Miljanovich , CRNP

Nurse Practitioner

NPI 1255707782

Certified Registered Nurse Practitioner

Dr. Peter Moulder , MD

Internal Medicine

NPI 1376704577

Doctor of Medicine (M.D.)

Dennis Shurmatz , CRNP

Nurse Practitioner - Family

NPI 1649572926

Certified Registered Nurse Practitioner

Jaclyn Guarino , CRNP

Nurse Practitioner - Family

NPI 1659637130

Certified Registered Nurse Practitioner

Dr. Edward Dainesi , MD

Internal Medicine

NPI 1821075417

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events

📍

Updated Practice Location October 07, 2020

Registered at 160 GALLERY DR STE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

📍

Updated Business Mailing Address October 07, 2020

Registered at 160 GALLERY DR STE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

✅

NPI Profile Active February 14, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location February 14, 2018

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

📍

Updated Business Mailing Address February 14, 2018

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

👤

Provider Name / Credentials Updated February 14, 2018

Recorded as MICHAEL HEISE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2018

Internal Medicine (License #MD042242L in PA)

✅

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2017

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

📍

Updated Business Mailing Address April 26, 2017

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

👤

Provider Name / Credentials Updated April 26, 2017

Recorded as MICHAEL HEISE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Internal Medicine (License #MD042242L in PA)

✅

NPI Profile Active January 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2016

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

📍

Updated Business Mailing Address January 07, 2016

Registered at 160 GALLERY DR, SUITE 300, MC MURRAY, PA 153172690 (Tel: 7249417144)

👤

Provider Name / Credentials Updated January 07, 2016

Recorded as MICHAEL HEISE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2016

Internal Medicine (License #MD042242L in PA)

🟢

Initial NPI Registration & Enumeration October 12, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003804162

Entity Type:

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

Enumeration Date: October 12, 2005

Last Update: October 07, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

160 Gallery Dr Ste 300

Mc Murray, PA 153172690

Phone: 7249417144

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.