DR. ANDREA WILSON HELLER D.O.
NPI 1205195054
Family Medicine - Hospice and Palliative Medicine in Coudersport, PA

Q: What is Andrea Heller's NPI number?

The NPI number for Andrea Heller is 1205195054. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Andrea Heller's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Heller was last updated on March 29, 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.

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment

85.99/100

CMS Quality Rating

1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-5276 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Andrea Wilson Heller D.o. NPPES

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

DR. ANDREA WILSON HELLER D.O. (NPI 1205195054) is an individual hospice and palliative medicine provider in Coudersport, Pennsylvania, licensed in Pennsylvania (OS018275) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Upmc Cole, and maintains a secondary practice location in Coudersport.

NPPES Registry Identity

NPI1205195054

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameDR. ANDREA WILSON HELLERCredential: D.O.

Location Address1001 E 2ND STCoudersport, PA 16915-8161

Mailing Address1001 E 2nd StCoudersport, PA 16915-8161

Phone(814) 274-5276

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1205195054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

License✔ Licensed in PA · OS018275

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

1001 E 2ND ST, Coudersport, PA 16915

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Secondary Practice Location 1

Location 171 Elk StCoudersport, PA 16915-9601 · Phone (814) 274-5577

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. Andrea Wilson Heller 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 ID6901194992

PECOS Enrollment IDI20161006000955

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 Reassignment

Medicare enrollment records show Andrea Heller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles Cole Memorial Hospital

Same address

Critical Access

1001 E 2ND ST
Coudersport, PA 16915

Reassigned Medicare billing, Pennsylvania enrollment
Also billed through NPI 1093182511 (Pennsylvania)
54 clinicians in this Medicare group

NPI 1326161662 (814) 274-9300

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Cole

Critical Access Hospitals · Coudersport, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391313

Location1001 East Second StreetCoudersport, PA 16915 · Potter County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 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.

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.

85.99/100

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

Scored as part of a group practice

Quality

83.18

Promoting Interoperability

100

Improvement Activities

Cost

70.12

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims19 services$20.21 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

2 suppliers44 claims45 services$112.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier19 claims19 services$36.72 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers21 claims21 services$28.31 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 20

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

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