MICHAEL J HEISE (MD) – Internal Medicine Physician, NPI 1003804162

MICHAEL J HEISE (MD) is a healthcare provider. based in Canonsburg, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD042242L (PA). The NPI Number for MICHAEL J HEISE (MD) is 1003804162

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J HEISE (MD)
NPI
1003804162
Phone
(724) 941-7144
Address
100 Medical Blvd
Enumeration Date
12 October 2005
Last Update Date
7 October 2020

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
7249417144
Graduation Year
1988 (38 years ago)
PAC ID
4789651795
Group Practice PAC ID
5395649586
Professional Enrollment ID
I20040910000309
Address ID
PA153172690MC160XXDRXX303

Contacts

Secure Messaging
mheise10909@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,967 INTERNAL MEDICINE in PA

Provider Addresses for MICHAEL J HEISE (MD)

  • 100 Medical Blvd

    Canonsburg, PA 153179762

    Phone: (724) 941-7144

    Fax: (724) 941-7625

    Type: Location

  • 160 GALLERY DR STE 300

    MC MURRAY, PA 153172690

    Phone: (724) 941-7144

    Fax: (724) 941-7625

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,564.

Total Amount is formed as General ($1,564) + Research ($0) + Ownership ($0) = $1,564.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($695).

Total Amount

$1,564

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040910000309IInternal MedicinePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes31643$0
99214Established patient office or other outpatient visit, 30-39 minutes228102$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9191$0
99213Established patient office or other outpatient visit, 20-29 minutes8557$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4123$0
View full utilization report →

Insurance plans in this area (ZIP 15317)

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Provider's Procedures

MICHAEL J HEISE (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle2220

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395649586View full group profile
NameSpecialtyState
-PA
Radiation OncologyPA
Nurse PractitionerPA
Nurse PractitionerPA
Critical Care (Intensivists), General SurgeryPA
Physician AssistantPA
O B S T E T R I C S/ G Y N E C O L O G YPA
A N E S T H E S I O L O G YPA
-PA
-PA

Reviews

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Frequently asked questions

How is MICHAEL J HEISE (MD) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL J HEISE (MD) with NPI 1003804162.
Does the file indicate MICHAEL J HEISE (MD) is practicing under active NPI?
Directory data currently reports MICHAEL J HEISE (MD) as active.
What is MICHAEL J HEISE (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for MICHAEL J HEISE (MD) here. Clinical services aligned with this taxonomy classification.
Does MICHAEL J HEISE (MD) list a practice location?
Patients near Canonsburg, Pennsylvania may find MICHAEL J HEISE (MD) in results; validate coverage separately.
Why does MICHAEL J HEISE (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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