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RENEE M HEBERLIE PA
NPI 1245506450
Physician Assistant in Worcester, MA

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
119 BELMONT ST DEPT OF, WORCESTER, MA 01605(508) 334-1886(508) 334-6052 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2021, Jun 25, 2021 (2 updates tracked since 2021).

About Renee M Heberlie Pa NPPES

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

RENEE M HEBERLIE PA (NPI 1245506450) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA5313) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1245506450
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRENEE M HEBERLIECredential: PA
Location Address119 BELMONT ST DEPT OFWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 334-1886
Fax(508) 334-6052
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
✔ NPI 1245506450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA5313✔ Licensed in KS · 15-01529
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
119 BELMONT ST DEPT OF, Worcester, MA 01605
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Secondary Practice Location 1

Location 110600 Mastin StOverland Park, KS 66212-5723 · Phone (913) 469-6447 · Fax (913) 338-1311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.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

Renee M Heberlie Pa 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 ID6800058454
PECOS Enrollment IDI20150514000763
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 4

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 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.
246 services203 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.
71 services69 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
54 services50 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
41 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 3

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

NICOLE M GILSON NP
Nurse Practitioner
119 BELMONT ST DEPT OF
WORCESTER, MA 01605
Worcester County (508) 334-9765
JAMES M LINDBERG MD
Surgery (Surgical Oncology)
119 BELMONT ST DEPT OF
WORCESTER, MA 01605
Worcester County (508) 334-5202
SHARONE GREEN M.D.
Internal Medicine (Infectious Disease)
119 BELMONT ST DEPT OF
WORCESTER, MA 01605
Worcester County (508) 334-6053

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 Renee Heberlie's NPI number?

The NPI number for Renee Heberlie is 1245506450. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Renee Heberlie located?

Renee Heberlie practices at 119 Belmont St Dept Of, Worcester, MA 01605. The listed phone number is (508) 334-1886.

What is Renee Heberlie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Renee Heberlie enrolled in Medicare?

Yes. Renee Heberlie 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 Renee Heberlie accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list Renee Heberlie 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 Renee Heberlie affiliated with any hospitals?

According to CMS data, Renee Heberlie is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Medical Center/University Campus and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Renee Heberlie was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.