DR. ANDREW HEISEL M.D.
NPI 1720436447
Internal Medicine in San Diego, CA

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123(858) 499-2616 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Andrew Heisel M.d. NPPES

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

DR. ANDREW HEISEL M.D. (NPI 1720436447) is an individual internal medicine provider in San Diego, California, licensed in California (A155496) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1720436447
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW HEISELCredential: M.D.
Location Address2929 HEALTH CENTER DRSan Diego, CA 92123-2762
Mailing Address2929 Health Center DrSan Diego, CA 92123-2762 · (858) 499-2616
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateDecember 11, 2019
✔ NPI 1720436447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A155496
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.
2929 HEALTH CENTER DR, San Diego, CA 92123

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

Dr. Andrew Heisel 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 ID2264769959
PECOS Enrollment IDI20190802001032
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

3

Medicare enrollment records show Andrew Heisel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
Hospitalist
2185 CITRACADO PKWY
Escondido, CA 92029
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group
Internal Medicine
4881 CARDIFF BAY DR
Oceanside, CA 92057
  • Reassigned Medicare billing, California enrollment
  • 6 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.

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.
166 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
111 services107 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.
91 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services38 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Nurse Practitioner (Family)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Internal Medicine (Hematology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Internal Medicine (Gastroenterology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Physician Assistant
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Obstetrics & Gynecology
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Internal Medicine (Gastroenterology)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Orthopaedic Surgery (Sports Medicine)
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123
Advanced Practice Midwife
2929 HEALTH CENTER DR
SAN DIEGO, CA 92123

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 Heisel's NPI number?

The NPI number for Andrew Heisel is 1720436447. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Andrew Heisel located?

Andrew Heisel practices at 2929 Health Center Dr, San Diego, CA 92123. The listed phone number is (858) 499-2616.

What is Andrew Heisel's specialty?

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

Is Andrew Heisel enrolled in Medicare?

Yes. Andrew Heisel 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 organizations bill Medicare for Andrew Heisel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Heisel reassigns Medicare benefits to 3 organizations: Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Palomar Hospitalist Medical Group, Inc (Escondido, CA) and Yomiyyu Gammada MD A Professional Medical Corporation (Oceanside, CA). 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 Andrew Heisel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Heisel was last updated on December 11, 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.