BRIAN HEIST
NPI 1265540108
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3459 5TH AVE, UPMC MONTEFIORE HOSPITAL SUITE W933, PITTSBURGH, PA 15213(412) 692-4889 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian Heist NPPES

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

BRIAN HEIST (NPI 1265540108) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD440047) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1265540108
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN HEIST
Location Address3459 5TH AVE, UPMC MONTEFIORE HOSPITAL SUITE W933Pittsburgh, PA 15213-3236
Mailing Address5934 Phillips AvePittsburgh, PA 15217-2122
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 25, 2021
NPI 1265540108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MD440047
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3459 5TH AVE, Pittsburgh, PA 15213

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

Brian Heist 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 ID1052435567
PECOS Enrollment IDI20100903000534
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 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.
26 services14 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.
24 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims

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

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$206.57 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.

Physician Assistant (Medical)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213
Physical Medicine & Rehabilitation
3459 5TH AVE
PITTSBURGH, PA 15213
Dietitian, Registered
3459 5TH AVE
PITTSBURGH, PA 15213
Internal Medicine
3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213
Nurse Practitioner (Family)
3459 5TH AVE, NW 628
PITTSBURGH, PA 15213
Physician Assistant
3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213
Clinical Nurse Specialist (Acute Care)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213
Specialist
3459 5TH AVE, N725
PITTSBURGH, PA 15213

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 Brian Heist's NPI number?

The NPI number for Brian Heist is 1265540108. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Brian Heist located?

Brian Heist practices at 3459 5th Ave Upmc Montefiore Hospital Suite W933, Pittsburgh, PA 15213. The listed phone number is (412) 692-4889.

What is Brian Heist's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Heist enrolled in Medicare?

Yes. Brian Heist 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 Brian Heist affiliated with any hospitals?

According to CMS data, Brian Heist is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Brian Heist was last updated on March 25, 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.