Active NPI 1659440261 Individual Practitioner Male Practitioner

Evan B. Heald

Internal Medicine • Charlottesville, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Evan Heald is a certified Internal Medicine practicing in Charlottesville, VA. With approximately 35 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1991, Evan Heald delivers high-quality medical care to the local community at 1222 JEFFERSON PARK AVE.

Evan Heald maintains professional affiliations with University Of Virginia Physicians Group, Select Physical Therapy Holdings Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, 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

1222 Jefferson Park Ave

Charlottesville, VA 229033410

Telephone 4349241931

Fax 4342444451

Associated Practice Facility / Clinic

🏢 University Of Virginia Physicians Group Facility NPI 1821545294

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Charlottesville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +14.1 yrs vs City Avg

City Avg: 20.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

149 Specialists

Practicing in Charlottesville, VA (3758 Statewide)

Telehealth Adoption Rate

35.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heald (35 Years) 35 Yrs

Charlottesville Specialty Average (20.9 Years) 20.9 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
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	378	233	$40.00	$15.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	201	$335.00	$92.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	43	$473.00	$136.84
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$238.00	$62.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$323.00	$125.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$458.00	$128.35

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	346	219	$329.71	$96.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	37	$447.72	$142.01
99213 Established patient office or other outpatient visit, typically 15 minutes	46	44	$233.80	$65.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$323.00	$129.18

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	336	214	$299.31	$98.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	57	$402.55	$146.73
99213 Established patient office or other outpatient visit, typically 15 minutes	49	46	$207.04	$67.25
20610 Aspiration and/or injection of fluid from large joint	22	14	$226.00	$42.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$454.71	$136.13

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	307	209	$285.57	$100.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	130	84	$382.00	$147.60
99213 Established patient office or other outpatient visit, typically 15 minutes	53	50	$199.83	$66.95
20610 Aspiration and/or injection of fluid from large joint	23	16	$226.00	$41.39

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	274	186	$265.62	$80.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	43	$360.54	$113.99
99213 Established patient office or other outpatient visit, typically 15 minutes	49	45	$186.43	$52.27
99443 Telephone medical discussion with physician, 21-30 minutes	18	16	$115.44	$80.46
20610 Aspiration and/or injection of fluid from large joint	16	12	$226.00	$43.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$404.36	$123.21

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	360	228	$260.04	$79.13
99213 Established patient office or other outpatient visit, typically 15 minutes	83	77	$179.31	$51.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	20	$349.15	$111.74
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	21	15	$150.00	$53.44
20610 Aspiration and/or injection of fluid from large joint	15	13	$241.07	$48.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$397.71	$129.88

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	352	224	$253.30	$77.48
99213 Established patient office or other outpatient visit, typically 15 minutes	92	81	$173.41	$50.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	20	$339.80	$110.50
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	14	11	$150.00	$53.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$392.00	$128.62

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	389	244	$250.00	$77.34
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$171.00	$50.47
20610 Aspiration and/or injection of fluid from large joint	15	11	$202.60	$37.63

Medical Specialties & State Licenses

CMS Verified: 2023-08-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101050508

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

006030297 (VA)

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

250 Merchant Walk Sq, Charlottesville, VA 229026511

Phone: 4343284900

University Of Virginia Physicians Group

1222 Jefferson Park Ave, Charlottesville, VA 229033410

Phone: 4349241931

Secondary Practice Locations

1215 Lee St

Charlottesville, VA 229083410

Phone: 4349240211

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Darren Guffey , MD

Dermatology

NPI 1003202433

Doctor of Medicine (M.D.)

Dr. Emily Mitchell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003493628

Doctor of Medicine (M.D.)

Julia Lucktong

Student in an Organized Health Care Education/Training Program

NPI 1003619297

Dr. Milad Memari , MD

Internal Medicine

NPI 1013405943

Doctor of Medicine (M.D.)

Krishna Gandhi

Student in an Organized Health Care Education/Training Program

NPI 1023806361

Sa Ra Park

Student in an Organized Health Care Education/Training Program

NPI 1043665144

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 14, 2020

Registered at 1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 229033410 (Tel: 4349241931)

📍

Updated Business Mailing Address October 14, 2020

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007 (Tel: 4342951000)

✅

NPI Profile Active January 02, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2008

Registered at LEE ST, CHARLOTTESVILLE, VA 229080001 (Tel: 4349240000)

📍

Updated Business Mailing Address January 02, 2008

Registered at 500 RAY C HUNT DR, CHARLOTTESVILLE, VA 229032981

👤

Provider Name / Credentials Updated January 02, 2008

Recorded as EVAN HEALD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2008

Internal Medicine (License #0101050508 in VA)

🟢

Initial NPI Registration & Enumeration November 07, 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: 1659440261

Entity Type:

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

Enumeration Date: November 07, 2006

Last Update: August 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Charlottesville, VA 229069007

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.