TERESA CAROL HEATLY (MD) – Internal Medicine Physician, NPI 1366466039
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
371 PULMONARY DISEASE in AZ
Provider Addresses for TERESA CAROL HEATLY (MD)
5750 W THUNDERBIRD RD BLDG E-500
GLENDALE, AZ 85306
Phone: (602) 258-4951
Fax: (602) 862-1131
Type: Location
5151 E BROADWAY RD STE 107
MESA, AZ 852061346
Phone: (480) 290-7000
Fax: (480) 325-3461
Type: Location
2550 W Union Hills Dr Ste 390
Phoenix, AZ 850275197
Phone: (602) 443-4068
Fax: (623) 434-8310
Type: Location
1821 S Webster Ave
Green Bay, WI 543012253
Phone: (920) 496-4700
Type: Location
East Broadway Road, Mesa, Maricopa County, Arizona, 85208, United States
MESA, AZ 852061346
Phone: (480) 290-7000
Fax: (602) 254-6840
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $198.
Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($109).
Total Amount
$198
General + Research + Ownership
Payments
5
Total payment records
General Amount
$198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100309000807 | I | Pulmonary Disease | AZ | TBD |
| I20240123002116 | I | Pulmonary Disease | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 72 | $0 |
Insurance plans in this area (ZIP 85306)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | AZ | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 125 | 122 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | AZ | |
| Physician Assistant | AZ | |
| - | AZ | |
| Pulmonary Disease | AZ | |
| - | AZ | |
| Physician Assistant | AZ | |
| Critical Care (Intensivists), Pulmonary Disease | NY | |
| - | AZ | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | AZ |
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