Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA HEYN MD
NPI 1194159319
Family Medicine in Greenville, SC

Active since August 23, 2013PECOS EnrolledAccepts Medicare Assignment
95.23/100
CMS Quality Rating
877 W FARIS RD STE A, GREENVILLE, SC 29605(864) 455-7800(864) 455-9082 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2026, Apr 27, 2022, May 28, 2019 and 1 more (4 updates tracked since 2016).

About Andrea Heyn Md NPPES

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

ANDREA HEYN MD (NPI 1194159319) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (96785) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1194159319
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA HEYNCredential: MD
Location Address877 W FARIS RD STE AGreenville, SC 29605-4296
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Fax(864) 455-9082
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2013
Enumeration DateAugust 23, 2013
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1194159319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SC · 96785✔ Licensed in CA · A132106
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A132106 (CA)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A132106 (CA)
877 W FARIS RD STE A, Greenville, SC 29605

Secondary Practice Locations 7

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 459-6000 · Fax (559) 459-6109
Location 23940 Sandpiper AveMerced, CA 95340-8372 · Phone (209) 722-4842
Location 3857 W Childs AveMerced, CA 95341-6862 · Phone (209) 722-4842
Location 4127 W El Portal DrMerced, CA 95348-2853 · Phone (209) 723-3704 · Fax (209) 723-0272
Location 5374 W Olive Ave Ste BMerced, CA 95348-3181 · Phone (209) 383-3076 · Fax (209) 383-6301
Location 6372 W Cypress AveReedley, CA 93654-2113 · Phone (559) 638-8155
Location 73349 G St Ste FMerced, CA 95340-0978 · Phone (209) 349-8459 ext. 245 · Fax (209) 233-9837

Accepted Insurance

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

Andrea Heyn Md 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 ID8022239441
PECOS Enrollment IDI20190605002369, I20260604002713
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

4

Medicare enrollment records show Andrea Heyn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
Urgent Care
905 VERDAE BLVD STE 101
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
13161 JEFFERSON ST
Le Grand, CA 95333
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
Internal Medicine
333 MERCY AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 126 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.

Areas of Expertise CMS Part B claims 3

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.

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.
84 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services17 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.
22 services18 patients

Hospital Affiliations CMS Care Compare

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420078
Location701 Grove RoadGreenville, SC 29605 · Greenville County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

95.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Improvement Activities40
Cost70.46

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims30 services$5.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$84.47 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Technician, Cardiology
877 W FARIS RD STE A
GREENVILLE, SC 29605
Nurse Practitioner (Family)
877 W FARIS RD STE A
GREENVILLE, SC 29605
Family Medicine
877 W FARIS RD STE A
GREENVILLE, SC 29605
Family Medicine
877 W FARIS RD STE A
GREENVILLE, SC 29605
Family Medicine (Sports Medicine)
877 W FARIS RD STE A
GREENVILLE, SC 29605
Pharmacist
877 W FARIS RD STE A
GREENVILLE, SC 29605
Family Medicine
877 W FARIS RD STE A
GREENVILLE, SC 29605
Technician, Cardiology
877 W FARIS RD STE A
GREENVILLE, SC 29605

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 Andrea Heyn's NPI number?

The NPI number for Andrea Heyn is 1194159319. It was assigned to this individual provider in the NPPES registry on August 23, 2013.

Where is Andrea Heyn located?

Andrea Heyn practices at 877 W Faris Rd Ste A, Greenville, SC 29605. The listed phone number is (864) 455-7800.

What is Andrea Heyn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Heyn enrolled in Medicare?

Yes. Andrea Heyn 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 Andrea Heyn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Heyn reassigns Medicare benefits to 4 organizations: Prisma Health University Medical Group (Greenville, SC), Prisma Health Urgent Care Of South Carolina, PC (Greenville, SC), Golden Valley Health Center (Le Grand, CA) and Merced Hospitalist Medical Group, Inc. (Merced, 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 Andrea Heyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Heyn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Andrea Heyn 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 Andrea Heyn affiliated with any hospitals?

According to CMS data, Andrea Heyn is affiliated with Prisma Health Greenville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Heyn was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.