Active NPI 1215137930 Individual Practitioner Female Practitioner

Dr. Heather Wheeler , MD

Surgery • Renton, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heather Wheeler, MD is a certified Surgery practicing in Renton, WA. With approximately 19 years of clinical experience since graduating from University Of Arizona College Of Medicine in 2007, Dr. Wheeler delivers high-quality medical care to the local community at 4033 TALBOT RD S STE 530.

Dr. Wheeler is affiliated with Valley Medical Group-Renton and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4033 Talbot Rd S Ste 530

Renton, WA 980555700

Telephone 4232286076

Fax 4252265224

Associated Practice Facility / Clinic

🏢 Public Hospital District #1 Of King County Facility NPI 1629245865

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Renton, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -5.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

17 Specialists

Practicing in Renton, WA (818 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wheeler (19 Years) 19 Yrs

Renton Specialty Average (24.3 Years) 24.3 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	22	22	$269.82	$135.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$493.65	$190.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$378.13	$182.25
19301 Partial removal of breast	13	12	$1735.00	$666.66
38900 Lymph node imaging during surgery	11	11	$363.09	$141.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1104.00	$237.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$278.00	$125.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$278.00	$142.56
19301 Partial removal of breast	12	11	$1635.00	$708.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$424.00	$185.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$278.00	$143.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$278.00	$125.31
19301 Partial removal of breast	11	11	$1635.00	$659.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1104.00	$264.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$189.00	$89.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$424.00	$187.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$278.00	$120.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$278.00	$137.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$424.00	$182.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$278.00	$112.90

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	41	34	$278.00	$114.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$424.00	$172.86
19301 Partial removal of breast	13	11	$1635.00	$624.94
38900 Lymph node imaging during surgery	13	13	$355.15	$143.96
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1104.00	$251.09
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$527.00	$180.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$424.00	$161.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	21	$278.00	$107.94
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1104.00	$270.61
38900 Lymph node imaging during surgery	13	13	$342.00	$146.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$527.00	$178.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$278.00	$116.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$424.00	$168.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$278.00	$115.58

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD60287372

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.

Hospital & Practice Group Affiliations

Valley Medical Group-Renton

4033 Talbot Rd S, Renton, WA 980555700

Phone: 4252286076

Practice Associates & Co-Workers

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

6 Associated Practitioners

Allison Warmington , PA-C

Physician Assistant - Surgical

NPI 1013940170

Physician Assistant (Certified)

Dr. Rebecca Stickler , MD

Surgery

NPI 1104936020

Doctor of Medicine (M.D.)

Dr. Jeffrey Stone , MD

Surgery

NPI 1194767509

Doctor of Medicine (M.D.)

Dr. Michelle Eden , MD

Surgery

NPI 1235108960

Doctor of Medicine (M.D.)

Dr. Martin Durtschi , MD

Surgery

NPI 1245381946

Doctor of Medicine (M.D.)

Dr. Cheuk Hong , MD

Surgery

NPI 1285618314

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 21, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2012

Registered at 4033 TALBOT RD S STE 530, RENTON, WA 980555700 (Tel: 4232286076)

📍

Updated Business Mailing Address September 21, 2012

Registered at PO BOX 34876, SEATTLE, WA 981241876 (Tel: 4256565412)

👤

Provider Name / Credentials Updated September 21, 2012

Recorded as HEATHER WHEELER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Surgery (License #MD60287372 in WA)

🟢

Initial NPI Registration & Enumeration July 20, 2007

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: 1215137930

Entity Type:

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

Enumeration Date: July 20, 2007

Last Update: September 21, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34876

Seattle, WA 981241876

Phone: 4256565412

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.