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

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: July 26, 2026.

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
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

Secondary Practice Location 1

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

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. 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.

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
Quality83.18
Promoting Interoperability100
Improvement Activities40
Cost70.12

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.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915

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 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.

Where is Andrea Heller located?

Andrea Heller practices at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-5276.

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.

Is Andrea Heller enrolled in Medicare?

Yes. Andrea Heller 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.

Is Andrea Heller affiliated with any hospitals?

According to CMS data, Andrea Heller is affiliated with Upmc Cole.

When was this NPI record last updated?

The NPPES record for Andrea Heller was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.