DR. SUSAN M HEFFLEY MD
NPI 1417007642
Family Medicine in Colorado Springs, CO

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
3027 N CIRCLE DR, COLORADO SPRINGS, CO 80909(719) 776-4646(719) 776-4640 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2023, Jul 16, 2018 (2 updates tracked since 2018).

About Dr. Susan M Heffley Md NPPES

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

DR. SUSAN M HEFFLEY MD (NPI 1417007642) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0059357) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1417007642
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN M HEFFLEYCredential: MD
Location Address3027 N CIRCLE DRColorado Springs, CO 80909-1179
Mailing Address3027 N Circle DrColorado Springs, CO 80909-1179 · (719) 776-4646 · Fax (719) 776-4640
Fax(719) 776-4640
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1417007642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in CO · DR.0059357 Licensed in KY · 40967
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.

3027 N CIRCLE DR, Colorado Springs, CO 80909

Other Names 1

Former Name (1)Dr. Susan Evelyn Morsey Heffley Md

Other Identifiers 5

Medicaid7100005270KY
Medicaid9000163357CO
Other000000638818KY · Anthem Bc/bs
OtherC10499KY · Medicare Railroad Ptan
OtherDR.0059357CO · Co Medical License

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. Susan M Heffley 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 ID2466543483
PECOS Enrollment IDI20180525000656
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 14

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 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.
300 services201 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.
182 services182 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.
143 services106 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.
31 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services29 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims64 services$5.81 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
4 suppliers12 claims12 services$49.09 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers12 claims12 services$9.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims78 services$1.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers17 claims18 services$23.39 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
6 suppliers46 claims48 services$68.34 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.

Dietitian, Registered
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Family Medicine
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Radiology (Diagnostic Radiology)
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Social Worker (Clinical)
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Registered Nurse (Diabetes Educator)
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Internal Medicine
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3027 N CIRCLE DR
COLORADO SPRINGS, CO 80909

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 Heffley's NPI number?

The NPI number for Susan Heffley is 1417007642. It was assigned to this individual provider in the NPPES registry on January 11, 2007. The provider is also known as Dr. Susan Evelyn Morsey Heffley MD.

Where is Susan Heffley located?

Susan Heffley practices at 3027 N Circle Dr, Colorado Springs, CO 80909. The listed phone number is (719) 776-4646.

What is Susan Heffley's specialty?

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

Is Susan Heffley enrolled in Medicare?

Yes. Susan Heffley 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.

When was this NPI record last updated?

The NPPES record for Susan Heffley was last updated on October 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.