JOHN HEIL (DA) – Exercise & Sports Psychologist, NPI 1285605105
Exercise & Sports Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
667 CLINICAL PSYCHOLOGIST in VA
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Provider Addresses for JOHN HEIL (DA)
2727, Electric Road, Glenmont, Cave Spring, Roanoke County, Virginia, 24018, United States
SUITE 100
ROANOKE, VA 240183547
Phone: (540) 772-5153
Fax: (540) 772-5157
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2005-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051129000305 | I | Clinical Psychologist | VA | 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 |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 96 | 32 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 49 | 49 | $0 |
| 96131 | Evaluation of psychological test, each additional hour | 43 | 35 | $0 |
| 96130 | Evaluation of psychological test, first hour | 35 | 35 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 24018)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | VA | 90853 | Group psychotherapy | 123 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | NH | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| - | VA | |
| Mental Health Counselor | VA | |
| Clinical Psychologist | VA | |
| Clinical Social Worker | VA | |
| Clinical Social Worker | VA |
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