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DR. HEIDI SUNGURLU D.O.
NPI 1114142999
Obstetrics & Gynecology - Gynecology in San Luis Obispo, CA

Active since April 16, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2344143 · Waiver
83.63/100
CMS Quality Rating
1223 HIGUERA ST STE 203, SAN LUIS OBISPO, CA 93401(805) 864-5330(805) 866-7562 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Heidi Sungurlu D.o. NPPES

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

DR. HEIDI SUNGURLU D.O. (NPI 1114142999) is an individual gynecology provider in San Luis Obispo, California, licensed in California (20A12250) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 17, 2028, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2005).

NPPES Registry Identity

NPI1114142999
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. HEIDI SUNGURLUCredential: D.O.
Location Address1223 HIGUERA ST STE 203San Luis Obispo, CA 93401-3165
Mailing Address1223 Higuera St Ste 203San Luis Obispo, CA 93401-3165 · (805) 864-5330 · Fax (805) 866-7562
Phone(805) 864-5330
Fax(805) 866-7562
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2005
Enumeration DateApril 16, 2007
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1114142999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · 20A12250
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1223 HIGUERA ST STE 203, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Heidi Sungurlu D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476680091
PECOS Enrollment IDI20140527000757
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heidi Sungurlu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heidi Sungurlu Do PC
Same address
Obstetrics & Gynecology
1223 HIGUERA ST STE 203
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
NPI 1336010149 (805) 864-5330
First Choice Physician Partners
0.5 mi
Neurology
620 CALIFORNIA BLVD, STE J
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1437408119 (805) 547-2275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2344143

Hedi Sungurlu Do PC · San Luis Obispo, CA
Active · expires May 17, 2028
CLIA Number05D2344143
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorHeidi Sungurlu
Laboratory Phone(805) 864-5330
Laboratory LocationHedi Sungurlu Do PC1223 Higuera Street Suite 203, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Reported Quality Measures

Breast Cancer Screening
86%140 patients4/55-star benchmark: 93%
Cervical Cancer Screening
92%643 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
43%46 patients
Controlling High Blood Pressure
67%36 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%1,168 patients4/55-star benchmark: 100%
e-Prescribing
98%360 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
69%528 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
76%549 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
67%942 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 572 patients
98%572 patients
Provide Patients Electronic Access to Their Health Information
97%357 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

HEIDI SUNGURLU DO PC
Obstetrics & Gynecology
1223 HIGUERA ST STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 864-5330
CHRISTINE LOPOPOLO MD PC
Obstetrics & Gynecology
1223 HIGUERA ST STE 203
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 864-5330

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 Heidi Sungurlu's NPI number?

The NPI number for Heidi Sungurlu is 1114142999. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Heidi Sungurlu located?

Heidi Sungurlu practices at 1223 Higuera St Ste 203, San Luis Obispo, CA 93401. The listed phone number is (805) 864-5330.

What is Heidi Sungurlu's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Heidi Sungurlu enrolled in Medicare?

Yes. Heidi Sungurlu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heidi Sungurlu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Sungurlu reassigns Medicare benefits to 2 organizations: Heidi Sungurlu Do PC (San Luis Obispo, CA) and First Choice Physician Partners (San Luis Obispo, CA). 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 Heidi Sungurlu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Heidi Sungurlu hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2344143) is associated with this NPI, valid through May 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heidi Sungurlu was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.