PATRICK JOEL HELLER M.D.
NPI 1679554745
Family Medicine in Melrose, MN

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
525 MAIN ST W, CENTRACARE HEALTH SYSTEM - MELROSE, MELROSE, MN 56352(320) 256-4228(320) 256-7106 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patrick Joel Heller M.d. NPPES

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

PATRICK JOEL HELLER M.D. (NPI 1679554745) is an individual family medicine provider in Melrose, Minnesota, licensed in Minnesota (40714) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Johns Hopkins University School Of Medicine (1995).

NPPES Registry Identity

NPI1679554745
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePATRICK JOEL HELLERCredential: M.D.
Location Address525 MAIN ST W, CENTRACARE HEALTH SYSTEM - MELROSEMelrose, MN 56352-1043
Mailing Address525 Main St W, Centracare Health System - MelroseMelrose, MN 56352-1043 · (320) 256-4228 · Fax (320) 256-7106
Fax(320) 256-7106
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1995
Enumeration DateNovember 7, 2005
Last NPPES UpdateJanuary 28, 2013
NPI 1679554745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 40714
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.

525 MAIN ST W, Melrose, MN 56352

Other Identifiers 11

Medicare UPING76491
Medicare ID-Type Unspecified080013673
Other340K5HEBlue Cross Blue Shield
Other830085Araz Group Americas Ppo
Other47A46CEBlue Cross Blue Shield
Other1017079Preferred One
Medicare ID-Type UnspecifiedC02107
Medicaid841508100MN
Medicare PIN080019701MN
Other0118377Medica Health Plans
Other122999U Care

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

Patrick Joel Heller 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 ID1456249804
PECOS Enrollment IDI20040308000549, I20040701000019
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.

Follow-up hospital inpatient care per day, typically 25 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.
37 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services20 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

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

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241326
Location50 Centracare DriveLong Prairie, MN 56347 · Todd County
Emergency services Birthing friendly

Centracare Health System - Melrose Hospital

Critical Access Hospitals · Melrose, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241330
Location525 West Main StreetMelrose, MN 56352 · Stearns County
Emergency services Birthing friendly

Centracare Health System - Sauk Centre

Critical Access Hospitals · Sauk Centre, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241368
Location425 North Elm StreetSauk Centre, MN 56378 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56352 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 21

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers18 claims234 services$18.56 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers17 claims525 services$2.21 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers67 claims118 services$6.08 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers26 claims26 services$38.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$82.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims36 services$31.07 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.

Family Medicine
525 MAIN ST W, CENTRACARE HEALTH SYSTEM - MELROSE
MELROSE, MN 56352
Dietitian, Registered
525 MAIN ST W
MELROSE, MN 56352
Nurse Practitioner
525 MAIN ST W, CENTRACARE HEALTH SYSTEM - MELROSE
MELROSE, MN 56352
Nurse Practitioner (Family)
525 MAIN ST W
MELROSE, MN 56352
Family Medicine
525 MAIN ST W
MELROSE, MN 56352
Physician Assistant
525 MAIN ST W
MELROSE, MN 56352
Nurse Practitioner (Family)
525 MAIN ST W
MELROSE, MN 56352
Nurse Practitioner (Family)
525 MAIN ST W
MELROSE, MN 56352

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 Patrick Heller's NPI number?

The NPI number for Patrick Heller is 1679554745. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Patrick Heller located?

Patrick Heller practices at 525 Main St W Centracare Health System - Melrose, Melrose, MN 56352. The listed phone number is (320) 256-4228.

What is Patrick Heller's specialty?

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

Is Patrick Heller enrolled in Medicare?

Yes. Patrick Heller 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 Patrick Heller accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Patrick Heller 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 Patrick Heller affiliated with any hospitals?

According to CMS data, Patrick Heller is affiliated with St Cloud Hospital, Centracare Health System - Long Prairie, Centracare Health System - Melrose Hospital and Centracare Health System - Sauk Centre.

When was this NPI record last updated?

The NPPES record for Patrick Heller was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.