Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVAN B. HEALD
NPI 1659440261
Internal Medicine in Charlottesville, VA

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Aug 10, 2023, Jul 31, 2021 and 1 more (4 updates tracked since 2020).

About Evan B. Heald NPPES

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

EVAN B. HEALD (NPI 1659440261) is an individual internal medicine provider in Charlottesville, Virginia, licensed in Virginia (0101050508) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1659440261
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEVAN B. HEALD
Location Address1222 JEFFERSON PARK AVECharlottesville, VA 22903-3410
Mailing AddressPo Box 749112Atlanta, GA 30384-9112
Fax(434) 244-4451
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1991
Enumeration DateNovember 7, 2006
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1659440261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101050508
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1222 JEFFERSON PARK AVE, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-3410 · Phone (434) 924-0211

Other Identifiers 1

Medicaid006030297VA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan B. Heald 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 ID7719995018
PECOS Enrollment IDI20060328000771
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 Reassignment

Medicare enrollment records show Evan Heald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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.
300 services201 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.
63 services43 patients
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.
41 services40 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.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 2

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
10 suppliers24 claims89 services$6.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims20 services$1.14 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.

Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Podiatrist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Internal Medicine
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Physician Assistant
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Dentist
1222 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903

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 Evan Heald's NPI number?

The NPI number for Evan Heald is 1659440261. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Evan Heald located?

Evan Heald practices at 1222 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-1931.

What is Evan Heald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Evan Heald enrolled in Medicare?

Yes. Evan Heald 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.

Which organization bills Medicare for Evan Heald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Heald reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Evan Heald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Heald accept?

Health plans from Oscar Health list Evan Heald 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 Evan Heald affiliated with any hospitals?

According to CMS data, Evan Heald is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Heald was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.