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DR. PHILIP A HEAVNER M.D.
NPI 1093773111
Pediatrics in Sayre, PA

Active since May 01, 2006PECOS Enrolled

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip A Heavner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP A HEAVNER M.D. (NPI 1093773111) is an individual pediatrics provider in Sayre, Pennsylvania, licensed in New York (234803) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cooperstown.

NPPES Registry Identity

NPI1093773111
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PHILIP A HEAVNERCredential: M.D.
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(570) 888-5858
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1093773111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 234803
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 GUTHRIE SQ, Sayre, PA 18840
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Secondary Practice Location 1

Location 11 Atwell RdCooperstown, NY 13326-1301 · Phone (607) 547-7980 · Fax (607) 547-6782

Other Identifiers 1

Medicaid02657225NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip A Heavner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLE LYNNETTE TERRY
Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. PHILLIP LUNSFORD MD
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MRS. MELISSA FOX OTR/L
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 887-4801
DR. PREMJEET SINGH DHILLON MD
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
WILLIAM HUNTER EDWARDS
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
DONNA L TAMKIN MD
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. BRUCE C SLAGLE M.D.
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MS. EMILY S. OBERST PA-C
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Heavner's NPI number?

The NPI number for Philip Heavner is 1093773111. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Philip Heavner located?

Philip Heavner practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 888-5858.

What is Philip Heavner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Philip Heavner enrolled in Medicare?

Yes. Philip Heavner is registered in the Medicare PECOS enrollment system.

What insurance does Philip Heavner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philip Heavner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Heavner was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.