MARCUS WILLIAM HEISLER M.D.
NPI 1205256955
Family Medicine in Elma, WA

Q: What is Marcus Heisler's NPI number?

The NPI number for Marcus Heisler is 1205256955. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Marcus Heisler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marcus Heisler was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 21, 2014PECOS EnrolledAccepts Medicare Assignment

610 E. MAIN STREET, ELMA, WA 98541(360) 346-2222 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 2, 2022, Jun 29, 2018 (2 updates tracked since 2018).

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About Marcus William Heisler M.d. NPPES

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

MARCUS WILLIAM HEISLER M.D. (NPI 1205256955) is an individual family medicine provider in Elma, Washington, licensed in California (A139570) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Loma Linda University School Of Medicine (2014).

NPPES Registry Identity

NPI1205256955

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARCUS WILLIAM HEISLERCredential: M.D.

Location Address610 E. MAIN STREETElma, WA 98541

Mailing Address820 Taylor Ln Ne Unit ALacey, WA 98506-5289 · (916) 716-4550

Phone(360) 346-2222

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration

NPPES CertifiedJuly 22, 2022

✔ NPI 1205256955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A139570✔ Licensed in WA · MD60849399

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.

610 E. MAIN STREET, Elma, WA 98541

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Other Identifiers 2

OtherMD60849399WA · Washington State

OtherA139570CA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Marcus William Heisler 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 ID4880938463

PECOS Enrollment IDI20181210000112

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.

Hospital Affiliations CMS Care Compare 2

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

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500031

Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County

Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501304

Location600 East Main StreetElma, WA 98541 · Grays Harbor County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98541 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

12 suppliers92 claims172 services$5.55 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers32 claims37 services$0.91 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$46.06 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers31 claims62 services$1.84 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers12 claims12 services$70.53 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims67 services$3.21 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers23 claims702 services$7.65 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims7,692 services$0.83 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 supplier50 claims51 services$19.44 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers73 claims73 services$7.12 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 suppliers163 claims164 services$112.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$36.42 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers35 claims2,010 services$4.61 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers54 claims12,960 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers35 claims1,680 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers18 claims94,500 services$0.15 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

5 suppliers74 claims74 services$190.49 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers84 claims84 services$25.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marcus Heisler's NPI number?

The NPI number for Marcus Heisler is 1205256955. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Marcus Heisler located?

Marcus Heisler practices at 610 E. Main Street, Elma, WA 98541. The listed phone number is (360) 346-2222.

What is Marcus Heisler's specialty?

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

Is Marcus Heisler enrolled in Medicare?

Yes. Marcus Heisler 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 Marcus Heisler accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marcus Heisler 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 Marcus Heisler affiliated with any hospitals?

According to CMS data, Marcus Heisler is affiliated with Grays Harbor Community Hospital and Summit Pacific Medical Center.

When was this NPI record last updated?

The NPPES record for Marcus Heisler was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.