DR. MICHAEL J HEAVEY M.D.
NPI 1316089261
Internal Medicine - Gastroenterology in Saint Louis, MO

Q: What is Michael Heavey's NPI number?

The NPI number for Michael Heavey is 1316089261. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Michael Heavey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Heavey was last updated on October 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment

6400 CLAYTON RD, SUITE 216, SAINT LOUIS, MO 63117(314) 646-7848(314) 646-7847 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael J Heavey M.d. NPPES

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

DR. MICHAEL J HEAVEY M.D. (NPI 1316089261) is an individual gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2009005443) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2003).

NPPES Registry Identity

NPI1316089261

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. MICHAEL J HEAVEYCredential: M.D.

Location Address6400 CLAYTON RD, SUITE 216Saint Louis, MO 63117-1850

Mailing AddressPo Box 955534Saint Louis, MO 63195-1850

Phone(314) 646-7848

Fax(314) 646-7847

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2003

Enumeration DateFebruary 13, 2007

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1316089261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MO · 2009005443

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6400 CLAYTON RD, Saint Louis, MO 63117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Michael J Heavey 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 ID5193879005

PECOS Enrollment IDI20090812000076

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 11

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

159 services159 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

124 services124 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.

111 services91 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

97 services96 patients

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.

94 services63 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.

42 services42 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

35 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

23 services23 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.

17 services17 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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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.

DR. ALLEN M JACOBS DPM

Podiatrist (Foot & Ankle Surgery)

6400 CLAYTON RD, STE 402
SAINT LOUIS, MO 63117

St. Louis County (314) 367-6545

DR. PIOTR KULIKOWSKI MD

Internal Medicine

6400 CLAYTON RD, STE 303
SAINT LOUIS, MO 63117

St. Louis County (314) 647-6666

UMAR DAUD MD

Internal Medicine (Rheumatology)

6400 CLAYTON RD, SUITE 110
SAINT LOUIS, MO 63117

St. Louis County (314) 645-4434

JIANMEI LIU M.D.

Internal Medicine

6400 CLAYTON RD, SUITE 401
SAINT LOUIS, MO 63117

St. Louis County (314) 644-6500

DR. EDWARD W. HEIDBRIER MD PC

Internal Medicine (Geriatric Medicine)

6400 CLAYTON RD, STE 107
SAINT LOUIS, MO 63117

St. Louis County (314) 645-2810

JOEL RILEY M.D.

Internal Medicine (Gastroenterology)

6400 CLAYTON RD, SUITE 216
SAINT LOUIS, MO 63117

St. Louis County (314) 951-5368

CLAYTON SLEEP INSTITUTE, LLC

Clinic/Center

6400 CLAYTON RD, STE 303
SAINT LOUIS, MO 63117

St. Louis County (314) 645-5855

AHMAD CARDIOLOGY INC

Internal Medicine (Cardiovascular Disease)

6400 CLAYTON RD, SUITE 316
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 644-2333

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 Michael Heavey's NPI number?

The NPI number for Michael Heavey is 1316089261. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Michael Heavey located?

Michael Heavey practices at 6400 Clayton Rd Suite 216, Saint Louis, MO 63117. The listed phone number is (314) 646-7848.

What is Michael Heavey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Heavey enrolled in Medicare?

Yes. Michael Heavey 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 Michael Heavey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Michael Heavey 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 Michael Heavey affiliated with any hospitals?

According to CMS data, Michael Heavey is affiliated with Ssm St Clare Health Center, Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Heavey was last updated on October 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.