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DR. DAVID N HEVERLY MD
NPI 1649205170
Psychiatry & Neurology - Neurology in Green Bay, WI

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
725 S WEBSTER AVE, SUITE 201, GREEN BAY, WI 54301(920) 430-7100(920) 430-7114 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. David N Heverly Md NPPES

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

DR. DAVID N HEVERLY MD (NPI 1649205170) is an individual neurology provider in Green Bay, Wisconsin, licensed in Wisconsin (42235) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1649205170
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. DAVID N HEVERLYCredential: MD
Location Address725 S WEBSTER AVE, SUITE 201Green Bay, WI 54301-3500
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 430-7100
Fax(920) 430-7114
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1996
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 20, 2015
✔ NPI 1649205170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WI · 42235
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
725 S WEBSTER AVE, Green Bay, WI 54301
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Other Identifiers 8

Medicaid32837700WI
Medicaid33320100WI
Medicare OSCAR/certificationP01020931WI
Medicare UPINH20044
Medicare OSCAR/certification002150245
Medicare OSCAR/certification002150245WI
Other364608478002WI · Blue Cross Blue Shield
Medicare OSCAR/certification000507580WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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. David N Heverly 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 ID5496792152
PECOS Enrollment IDI20170213001266
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

MR. WILLIAM B HITCH PH.D., ABPP
Psychologist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
ABIGAIL N GOOD OT
Occupational Therapist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3655
MEGAN C BRZEZINSKI APNP
Nurse Practitioner
725 S WEBSTER AVE, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 430-7100
HALEY M HYLER PA
Physician Assistant
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5650
DR. DAVID K KAUFMAN MD
Psychiatry & Neurology (Neurology)
725 S WEBSTER AVE, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 430-7100
ALEXANDRA N NELSON PA-C
Physician Assistant
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
ALEXANDRIA M CAELWAERTS D-PT
Physical Therapist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995
JORDAN CHRISTINE PEROUTKY SLP
Speech-Language Pathologist
725 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7995

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 David Heverly's NPI number?

The NPI number for David Heverly is 1649205170. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is David Heverly located?

David Heverly practices at 725 S Webster Ave Suite 201, Green Bay, WI 54301. The listed phone number is (920) 430-7100.

What is David Heverly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is David Heverly enrolled in Medicare?

Yes. David Heverly 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 David Heverly accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list David Heverly 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 David Heverly affiliated with any hospitals?

According to CMS data, David Heverly is affiliated with Alomere Health and St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for David Heverly was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.