TERESA CAROL HEATLY MD
NPI 1366466039
Internal Medicine - Pulmonary Disease in Mesa, AZ

Q: What is Teresa Heatly's NPI number?

The NPI number for Teresa Heatly is 1366466039. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Teresa Heatly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Heatly was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

5151 E BROADWAY RD STE 107, MESA, AZ 85206(480) 290-7000(480) 325-3461 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Jun 13, 2024, Jun 15, 2023 and 6 more (9 updates tracked since 2016).

On this page

About Teresa Carol Heatly Md NPPES

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

TERESA CAROL HEATLY MD (NPI 1366466039) is an individual pulmonary disease provider in Mesa, Arizona, licensed in Arizona (23465) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366466039

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameTERESA CAROL HEATLYCredential: MD

Location Address5151 E BROADWAY RD STE 107Mesa, AZ 85206-1346

Mailing Address5151 E Broadway Rd Ste 107Mesa, AZ 85206-1346 · (480) 290-7000 · Fax (602) 254-6840

Phone(480) 290-7000

Fax(480) 325-3461

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJuly 27, 2006

Last NPPES UpdateOctober 7, 20259 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1366466039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in AZ · 23465✔ Licensed in WI · 3600-320

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 23465 (AZ), 3600-320 (WI)

5151 E BROADWAY RD STE 107, Mesa, AZ 85206

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Secondary Practice Locations 2

Location 12550 W Union Hills Dr Ste 390Phoenix, AZ 85027-5197 · Phone (602) 443-4068 · Fax (623) 434-8310

Location 21821 S Webster AveGreen Bay, WI 54301-2253 · Phone (920) 496-4700

Other Identifiers 2

Medicaid100258873WI

Medicaid318677AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Teresa Carol Heatly Md 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 ID7214072644

PECOS Enrollment IDI20100309000807, I20240123002116

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 2

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 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.

72 services61 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

48%75 patients2/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

79%1,935 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

16%790 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

54%1,173 patients3/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

62%601 patients3/55-star benchmark: 88%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 94% · 467 patients

Patients tobacco: 82% · 467 patients

20%70 patients1/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

12 suppliers107 claims107 services$33.89 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers12 claims23 services$1.36 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

8 suppliers17 claims17 services$12.86 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers51 claims51 services$70.03 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

11 suppliers56 claims133 services$26.61 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

9 suppliers45 claims240 services$15.61 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers45 claims240 services$12.81 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

12 suppliers99 claims99 services$44.75 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers82 claims82 services$15.31 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

9 suppliers34 claims34 services$10.60 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

14 suppliers124 claims688 services$1.75 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

11 suppliers68 claims68 services$10.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers32 claims32 services$16.86 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers15 claims15 services$68.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

11 suppliers182 claims182 services$3.97 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers103 claims104 services$26.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

12 suppliers228 claims228 services$69.30 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers146 claims150 services$32.31 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

5 suppliers36 claims2,280 services$4.99 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

26 suppliers62 claims17,535 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers55 claims4,665 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

13 suppliers45 claims3,390 services$0.81 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier14 claims73,500 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers29 claims29 services$33.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

35 suppliers149 claims149 services$24.71 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

10 suppliers13 claims13 services$48.25 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 6

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

AMBER LEN HAUSKINS PA-C

Physician Assistant

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

JUDITH ANNE NEWELL FNP-BC

Nurse Practitioner (Family)

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

PULMONARY ASSOCIATES, PA

Internal Medicine (Pulmonary Disease)

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

THOMAS KUNELIS DO

Internal Medicine (Pulmonary Disease)

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

JEREMY TYLER LUCZAK PA-C

Physician Assistant

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

MARIA MAGDALENA RAMIREZ STOCKMAN MD

Internal Medicine (Pulmonary Disease)

5151 E BROADWAY RD STE 107
MESA, AZ 85206

Maricopa County (480) 290-7000

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 Teresa Heatly's NPI number?

The NPI number for Teresa Heatly is 1366466039. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Teresa Heatly located?

Teresa Heatly practices at 5151 E Broadway Rd Ste 107, Mesa, AZ 85206. The listed phone number is (480) 290-7000.

What is Teresa Heatly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Teresa Heatly enrolled in Medicare?

Yes. Teresa Heatly 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 Teresa Heatly accept?

Health plans from Blue Cross Blue Shield of Arizona list Teresa Heatly 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 Teresa Heatly affiliated with any hospitals?

According to CMS data, Teresa Heatly is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Teresa Heatly was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.