DR. PHILIP A HEAVNER M.D.
NPI 1093773111
Pediatrics in Sayre, PA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
2Medicare enrollment records show Philip Heavner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, PA 18810
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 clinicians in this Medicare group
Cooperstown, NY 13326
- Reassigned Medicare billing, New York enrollment
- 1,052 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
SAYRE, PA 18840
SAYRE, PA 18840
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.
Which organizations bill Medicare for Philip Heavner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Heavner reassigns Medicare benefits to 2 organizations: Guthrie Medical Group, P.C. (Athens, PA) and Mary Imogene Bassett Hospital (Cooperstown, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Heavner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Philip A Heavner, M.D. · NPI 1093773111
Pediatrics physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1093773111 (Entity type: Individual)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 234803 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 888-5858
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Guthrie Medical Group, P.C. (NPI 1962451153, Athens, PA); Mary Imogene Bassett Hospital (NPI 1083664221, Cooperstown, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2021
- **Other identifiers:** Medicaid 02657225 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1093773111) · Data from the CMS NPPES public registry.