DR. PAUL E HEASLEY M.D.
NPI 1285645085
Internal Medicine in Albany, NY
NPI Status: Active since August 10, 2006
Contact Information
445 NEW KARNER RD
ALBANY, NY
ZIP 12205
Phone: (518) 285-8192
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
About PAUL HEASLEY
This page provides the complete NPI Profile along with additional information for Paul Heasley, an internist established in Albany, New York with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1285645085 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number 160808 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1285645085
- Provider Name
- DR. PAUL E HEASLEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 445 NEW KARNER RD ALBANY, NY 12205
- Location Phone
- (518) 285-8192
- Mailing Address
- PO BOX 14890 ST. PETER'S HEALTH PARTNERS PAYER CREDENTIALING ALBANY, NY 12212
- Mailing Phone
- (518) 525-5634
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2006
- Last Update Date
- 05-25-2021
- Code Navigator
An internist like Paul Heasley is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 258 Hoosick St Ste 206
Troy, NY 12180
(518) 285-8150 - 433 River St Ste 3000
Troy, NY 12180
(518) 279-5700 - 315 S Manning Blvd
Albany, NY 12208
(518) 285-8150 - 2 Palisades Dr
Albany, NY 12205
(518) 285-8192 - 7 Southwoods Blvd
Albany, NY 12211
(518) 285-8150 - 600 Northern Blvd
Albany, NY 12204
(518) 285-8150 - 317 S Manning Blvd Ste 220
Albany, NY 12208
(518) 285-8150 - 317 S Manning Blvd Ste 100
Albany, NY 12208
(518) 285-8150 - 79 Vandenburgh Ave
Troy, NY 12180
(518) 285-8150 - 720 Hoosick Rd
Troy, NY 12180
(518) 285-8150 - 2215 Burdett Ave
Troy, NY 12180
(518) 285-8150 - 147 Hoosick St
Troy, NY 12180
(518) 285-8150 - 1300 Massachusetts Ave
Troy, NY 12180
(518) 285-8150 - 1101 Nott St
Schenectady, NY 12308
(518) 285-8150 - 896 Riverview Rd
Rexford, NY 12148
(518) 285-8150 - 279 Troy Rd
Rensselaer, NY 12144
(518) 285-8150 - 69 Prospect Ave
Hudson, NY 12534
(518) 285-8150 - 3 Crossing Blvd Ste 1
Halfmoon, NY 12065
(518) 285-8150 - 55 Mohawk St Ste 105
Cohoes, NY 12047
(518) 285-8150 - 1700 Riverfront Ctr
Amsterdam, NY 12010
(518) 285-8150 - 63 Shaker Rd Ste G02
Albany, NY 12204
(518) 285-8150 - 400 Patroon Creek Blvd
Albany, NY 12206
(518) 285-8150 - 43 New Scotland Ave
Albany, NY 12208
(518) 285-8150
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 160808
- License State
- NY
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | 160808 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01020048 | MEDICAID (05) | NY |
Medicare Participation & PECOS Enrollment Status
Paul Heasley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD021N)
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each (HCPCS:E0955)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD000N)
Manual adult size wheelchair, includes tilt in space (HCPCS:E1161)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each (HCPCS:E1225)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 12205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285645085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
ALBANY, NY 12205
ALBANY, NY 12205
ALBANY, NY 12205
ALBANY, NY 12205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285645085, enumerated as an "individual" on August 10, 2006.
The provider is located at 445 NEW KARNER RD ALBANY, NY 12205 and the phone number is (518) 285-8192.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
