Active NPI 1902119787 Individual Practitioner Female Practitioner

Heather Sue Pyle , PA-C

Physician Assistant • Mifflintown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Pyle, PA-C is a certified Physician Assistant practicing in Mifflintown, PA. With approximately 16 years of clinical experience since completing medical education in 2010, Heather Pyle delivers high-quality medical care to the local community at 2813 INDUSTRIAL PARK RD.

Heather Pyle maintains professional affiliations with Family Practice Center Pc, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2813 Industrial Park Rd

Mifflintown, PA 17059

Telephone 7174368283

Fax 7174365594

Associated Practice Facility / Clinic

🏢 Geisinger Clinic Facility NPI 1215087234

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mifflintown, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Mifflintown, PA (8068 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pyle (16 Years) 16 Yrs

Mifflintown Specialty Average (18.5 Years) 18.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	900	15	$0.15	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	42	$160.00	$103.11
99213 Established patient office or other outpatient visit, typically 15 minutes	79	50	$110.00	$73.07
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	61	26	$25.00	$13.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$150.00	$104.05

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	107	43	$160.00	$102.34
99213 Established patient office or other outpatient visit, typically 15 minutes	67	49	$110.00	$70.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$150.00	$104.67
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$40.00	$11.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	78	$114.37	$72.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	42	$166.92	$104.79
99441 Telephone medical discussion with physician, 5-10 minutes	15	15	$65.00	$43.21
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$40.00	$11.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$150.00	$98.80
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$150.00	$46.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	148	$145.55	$76.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$195.00	$93.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$186.00	$101.63
81002 Urinalysis, manual test	16	16	$16.00	$3.48
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	15	12	$65.00	$33.91
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$62.00	$34.26
90471 Administration of 1 vaccine	11	11	$30.00	$13.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	125	26	$65.00	$34.73
99213 Established patient office or other outpatient visit, typically 15 minutes	113	77	$112.49	$60.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	50	$160.41	$88.63
99442 Telephone medical discussion with physician, 11-20 minutes	30	27	$83.33	$51.57
G0008 Administration of influenza virus vaccine	26	26	$45.00	$15.64
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	21	13	$40.00	$31.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	19	19	$68.68	$61.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$115.00	$90.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	96	$110.00	$57.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	53	$162.50	$86.14
J1020 Injection, methylprednisolone acetate, 20 mg	93	26	$6.00	$3.45
G0008 Administration of influenza virus vaccine	29	29	$45.00	$15.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$115.00	$93.61
90653 Vaccine for influenza for injection into muscle	22	22	$65.00	$55.69
93000 Routine ekg using at least 12 leads including interpretation and report	20	17	$40.00	$14.11
99496 Transitional care management services for problem of high complexity	13	11	$350.00	$193.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	102	$110.00	$57.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	56	$161.75	$86.61
J1020 Injection, methylprednisolone acetate, 20 mg	69	22	$6.00	$4.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$115.00	$87.73
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$40.00	$13.93
G0008 Administration of influenza virus vaccine	22	22	$45.00	$17.79
90662 Influenza vaccine split virus, preservative free	16	16	$63.75	$48.50
99496 Transitional care management services for problem of high complexity	12	11	$350.00	$176.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	102	$102.70	$57.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	68	$148.78	$85.74
J1020 Injection, methylprednisolone acetate, 20 mg	81	22	$6.00	$5.00
93000 Routine ekg using at least 12 leads including interpretation and report	31	28	$40.00	$13.41
G0008 Administration of influenza virus vaccine	23	23	$41.52	$23.00
90662 Influenza vaccine split virus, preservative free	14	14	$54.29	$47.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$115.00	$86.83
G0009 Administration of pneumococcal vaccine	11	11	$32.27	$24.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$163.64	$127.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA OA002513

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License PA MA054449

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1031551810001 (PA)

Hospital & Practice Group Affiliations

Family Practice Center Pc

1 Dock Hill Rd, Middleburg, PA 178428910

Phone: 5708375889

Family Practice Center Pc

2813 Industrial Park Rd, Mifflintown, PA 170599078

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Practice Associates & Co-Workers

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

16 Associated Practitioners

Michelle St Omer Roy

Student in an Organized Health Care Education/Training Program

NPI 1205620226

Oreoluwa Sowunmi

Student in an Organized Health Care Education/Training Program

NPI 1295527711

Dr. Mandy Maneval , MD

Family Medicine

NPI 1407064207

Doctor of Medicine (M.D.)

Madona Pakkam

Student in an Organized Health Care Education/Training Program

NPI 1437943594

Meri Richardson , LSW

Social Worker

NPI 1467969584

Licensed Social Worker

Dr. Andrea Smith , DO

Student in an Organized Health Care Education/Training Program

NPI 1558065128

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location June 05, 2018

Registered at 2813 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059 (Tel: 7174368283)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Physician Assistant (License #MA054449 in PA)

✅

NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 14, 2016

Registered at 2813 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 170599078 (Tel: 7174368283)

📍

Updated Business Mailing Address January 14, 2016

Registered at 7 DOCK HILL RD, MIDDLEBURG, PA 178428910 (Tel: 5708372123)

👤

Provider Name / Credentials Updated January 14, 2016

Recorded as HEATHER PYLE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Physician Assistant (License #OA002513 in PA)

🟢

Initial NPI Registration & Enumeration July 21, 2010

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: 1902119787

Entity Type:

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

Enumeration Date: July 21, 2010

Last Update: June 05, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7 Dock Hill Rd

Middleburg, PA 178428910

Phone: 5708372123

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.