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DR. PAUL W HEBERLE D.O.
NPI 1528173192
Pain Medicine - Pain Medicine in Edinboro, PA

Active since August 21, 2006PECOS Enrolled
18244 IRISH RD, EDINBORO, PA 16412(814) 734-3633(814) 734-1349 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul W Heberle D.o. NPPES

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

DR. PAUL W HEBERLE D.O. (NPI 1528173192) is an individual pain medicine provider in Edinboro, Pennsylvania, licensed in Pennsylvania (OS008790L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528173192
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. PAUL W HEBERLECredential: D.O.
Location Address18244 IRISH RDEdinboro, PA 16412-4734
Mailing AddressPo Box 573, 18244 Irish RoadEdinboro, PA 16412-0573 · (814) 734-3633 · Fax (814) 734-1349
Phone(814) 734-3633
Fax(814) 734-1349
Sole ProprietorYes
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1528173192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in PA · OS008790L
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedEmergency MedicineTaxonomy 207P00000X · License OS008790L (PA)
Also ListedInternal MedicineTaxonomy 207R00000X · License OS008790L (PA)
18244 IRISH RD, Edinboro, PA 16412
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Other Identifiers 1

Medicaid0018002500008PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul W Heberle D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paul Heberle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osteopathic Internal Medicine Associates Inc.
18 mi
Internal Medicine
2010 W 38TH ST
Erie, PA 16508
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1649327792 (814) 868-5481
Corry Memorial Hospital Association
26 mi
Critical Access
965 SHAMROCK LN
Corry, PA 16407
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1841268877 (Pennsylvania)
  • 9 clinicians in this Medicare group
NPI 1255788014 (814) 664-4641

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16412 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Paul Heberle's NPI number?

The NPI number for Paul Heberle is 1528173192. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Paul Heberle located?

Paul Heberle practices at 18244 Irish Rd, Edinboro, PA 16412. The listed phone number is (814) 734-3633.

What is Paul Heberle's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Paul Heberle enrolled in Medicare?

Yes. Paul Heberle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Heberle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Heberle reassigns Medicare benefits to 2 organizations: Osteopathic Internal Medicine Associates Inc. (Erie, PA) and Corry Memorial Hospital Association (Corry, PA). 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 Paul Heberle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Heberle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Heberle 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 Paul Heberle was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.