DR. ANDREW M HEINER M.D.
NPI 1497768014
Internal Medicine - Gastroenterology in Sandy, UT

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
1393 E SEGO LILY DR, SANDY, UT 84092(801) 619-9000(801) 619-9001 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew M Heiner M.d. NPPES

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

DR. ANDREW M HEINER M.D. (NPI 1497768014) is an individual gastroenterology provider in Sandy, Utah, licensed in Utah (181547-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1987).

NPPES Registry Identity

NPI1497768014
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ANDREW M HEINERCredential: M.D.
Location Address1393 E SEGO LILY DRSandy, UT 84092-4350
Mailing Address1393 E Sego Lily DrSandy, UT 84092-4350 · (801) 619-9000 · Fax (801) 619-9001
Fax(801) 619-9001
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1987
Enumeration DateAugust 14, 2006
Last NPPES UpdateOctober 22, 2019
NPI 1497768014 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 UT · 181547-1205
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.
1393 E SEGO LILY DR, Sandy, UT 84092

Accepted 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. Andrew M Heiner 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 ID3577576909
PECOS Enrollment IDI20070823000533
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.

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.
78 services75 patients
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.
71 services71 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.
60 services53 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
51 services46 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.
41 services41 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
30 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84092 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.28
Promoting Interoperability68
Improvement Activities40
Cost58.12

Other Providers at the Same Location NPPES 15

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

Nurse Anesthetist, Certified Registered
1393 E SEGO LILY DR
SANDY, UT 84092
Specialist
1393 E SEGO LILY DR
SANDY, UT 84092
Pathology (Anatomic Pathology & Clinical Pathology)
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092
Pathology (Anatomic Pathology & Clinical Pathology)
1393 E SEGO LILY DR
SANDY, UT 84092
Nurse Practitioner (Family)
1393 E SEGO LILY DR
SANDY, UT 84092
Physician Assistant
1393 E SEGO LILY DR
SANDY, UT 84092
Internal Medicine (Gastroenterology)
1393 E SEGO LILY DR
SANDY, UT 84092

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 Andrew Heiner's NPI number?

The NPI number for Andrew Heiner is 1497768014. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Andrew Heiner located?

Andrew Heiner practices at 1393 E Sego Lily Dr, Sandy, UT 84092. The listed phone number is (801) 619-9000.

What is Andrew Heiner's specialty?

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

Is Andrew Heiner enrolled in Medicare?

Yes. Andrew Heiner 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 Andrew Heiner accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Andrew Heiner 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.

When was this NPI record last updated?

The NPPES record for Andrew Heiner was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.