SUSAN DIANE OTT HEASLEY DO
NPI 1336360254
Family Medicine in Cheney, KS

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
103 N MAIN ST, CHENEY, KS 67025(620) 259-6221(316) 540-6193 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2022, Nov 1, 2021 (2 updates tracked since 2021).

About Susan Diane Ott Heasley Do NPPES

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

SUSAN DIANE OTT HEASLEY DO (NPI 1336360254) is an individual family medicine provider in Cheney, Kansas, licensed in Kansas (05-45046) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Kingman Healthcare Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2006).

NPPES Registry Identity

NPI1336360254
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN DIANE OTT HEASLEYCredential: DO
Location Address103 N MAIN STCheney, KS 67025-8844
Mailing Address2101 N Waldron StHutchinson, KS 67502-1197 · (620) 669-2500 · Fax (316) 540-6193
Fax(316) 540-6193
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2006
Enumeration DateMay 1, 2007
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1336360254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KS · 05-45046✔ Licensed in MO · 2011020340
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 6554 (KS)
103 N MAIN ST, Cheney, KS 67025

Other Identifiers 3

Medicaid1336360254MO
OtherP00985977MO · Rr Mcr
Other431560263MO · Tricare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Diane Ott Heasley Do 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 ID2769653070
PECOS Enrollment IDI20110919000038, I20210907001603
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Ott Heasley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2101 N WALDRON ST
Hutchinson, KS 67502
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Hutchinson Clinic PA Inc
  • 163 clinicians in this Medicare group
Rural Health
309 E HOSPITAL RD
El Dorado Springs, MO 64744
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
149 services64 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.
132 services65 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.
91 services64 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
83 services18 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
81 services56 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
78 services54 patients

Hospital Affiliations CMS Care Compare

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

Kingman Healthcare Center

Critical Access Hospitals · Kingman, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171378
Location750 W Ave DKingman, KS 67068 · Kingman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67025 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
103 N MAIN ST
CHENEY, KS 67025
Nurse Practitioner
103 N MAIN ST
CHENEY, KS 67025

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 Susan Ott Heasley's NPI number?

The NPI number for Susan Ott Heasley is 1336360254. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Susan Ott Heasley located?

Susan Ott Heasley practices at 103 N Main St, Cheney, KS 67025. The listed phone number is (620) 259-6221.

What is Susan Ott Heasley's specialty?

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

Is Susan Ott Heasley enrolled in Medicare?

Yes. Susan Ott Heasley 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.

Which organizations bill Medicare for Susan Ott Heasley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ott Heasley reassigns Medicare benefits to 2 organizations: Hutchinson Clinic, P.A., Inc. (Hutchinson, KS) and Mercy Clinic Springfield Communities (El Dorado Springs, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Ott Heasley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Ott Heasley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Susan Ott Heasley 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 Susan Ott Heasley affiliated with any hospitals?

According to CMS data, Susan Ott Heasley is affiliated with Kingman Healthcare Center.

When was this NPI record last updated?

The NPPES record for Susan Ott Heasley was last updated on February 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.