DR. MICHAEL RILEY HEAPHY JR. M.D.
NPI 1174620496
Dermatology - Dermatopathology in Sparks, NV

Q: What is Michael Heaphy's NPI number?

The NPI number for Michael Heaphy is 1174620496. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Michael Heaphy's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Q: When was this NPI record last updated?

The NPPES record for Michael Heaphy was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

83.8/100

CMS Quality Rating

4814 SPARKS BLVD, SPARKS, NV 89436(775) 324-0699(775) 323-6814 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2021, Sep 21, 2018 (2 updates tracked since 2018).

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About Dr. Michael Riley Heaphy Jr. M.d. NPPES

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

DR. MICHAEL RILEY HEAPHY JR. M.D. (NPI 1174620496) is an individual dermatopathology provider in Sparks, Nevada, licensed in Nevada (17674) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174620496

Entity TypeIndividualMale

Primary Taxonomy207ND0900X

Provider Legal NameDR. MICHAEL RILEY HEAPHY JR.Credential: M.D.

Location Address4814 SPARKS BLVDSparks, NV 89436

Mailing Address640 W Moana LnReno, NV 89509-4903 · (775) 324-0699 · Fax (775) 323-6814

Phone(775) 324-0699

Fax(775) 323-6814

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1999

Enumeration DateSeptember 20, 2006

Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1174620496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

Licenses✔ Licensed in NV · 17674✔ Licensed in FL · ME97172✔ Licensed in OH · 35.088653

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Also ListedDermatologyTaxonomy 207N00000X · License ME97172 (FL)

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License T4386 (TX)

4814 SPARKS BLVD, Sparks, NV 89436

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Secondary Practice Locations 3

Location 16001 Memorial HwyTampa, FL 33615-4531 · Phone (813) 884-1626 · Fax (813) 886-0589

Location 2640 W Moana LnReno, NV 89509-4903 · Phone (775) 324-0699 · Fax (775) 283-6814

Location 37801 N LaMar Blvd Ste D8182Austin, TX 78752-1016 · Phone (512) 868-3376 · Fax (512) 502-5366

Other Identifiers 1

OtherAB222UFL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Riley Heaphy Jr. M.d. 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 ID7416977582

PECOS Enrollment IDI20180413001324, I20200813002833, I20200817002474, I20200908002776, I20211221002978, I20220201001595

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.

Areas of Expertise CMS Part B claims 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

10,233 services5,997 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

631 services395 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

626 services566 patients

Application of ultraviolet light to skin 96900

Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.

279 services25 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

260 services244 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

218 services39 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

185 services120 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.

109 services76 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

74 services59 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

71 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

62 services42 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

50 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services29 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

28 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89436 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

83.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.58

Promoting Interoperability

Improvement Activities

Cost

71.77

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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.

IRENE HELEN MANNERING M.D.

Dermatology

4814 SPARKS BLVD
SPARKS, NV 89436

Washoe County (753) 240-6997

JONATHAN PATRICK STAIDLE M.D.

Dermatology

4814 SPARKS BLVD
SPARKS, NV 89436

Washoe County (775) 327-0699

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 Michael Heaphy's NPI number?

The NPI number for Michael Heaphy is 1174620496. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michael Heaphy located?

Michael Heaphy practices at 4814 Sparks Blvd, Sparks, NV 89436. The listed phone number is (775) 324-0699.

What is Michael Heaphy's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Michael Heaphy enrolled in Medicare?

Yes. Michael Heaphy 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.

What insurance does Michael Heaphy accept?

Health plans from Ambetter from Arizona Complete Health, Moda Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and Sendero Health Plans, Local Nonprofit list Michael Heaphy 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.

Is Michael Heaphy affiliated with any hospitals?

According to CMS data, Michael Heaphy is affiliated with Renown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Heaphy was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.