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MARLOU B HEILAND M.D.
NPI 1730180431
Urology in Chandler, AZ

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1455 W CHANDLER BLVD, BLDG B #8, CHANDLER, AZ 85224(480) 899-1696(480) 963-6227 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marlou B Heiland M.d. NPPES

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

MARLOU B HEILAND M.D. (NPI 1730180431) is an individual urology provider in Chandler, Arizona, licensed in Arizona (33507) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1730180431
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameMARLOU B HEILANDCredential: M.D.
Location Address1455 W CHANDLER BLVD, BLDG B #8Chandler, AZ 85224-6177
Mailing AddressPo Box 6423Chandler, AZ 85246-6423
Phone(480) 899-1696
Fax(480) 963-6227
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 3, 2005
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1730180431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AZ · 33507
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1455 W CHANDLER BLVD, Chandler, AZ 85224
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Providence 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

Marlou B Heiland 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 ID5991600306
PECOS Enrollment IDI20250414003020
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 9

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 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.
218 services196 patients
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.
93 services80 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
72 services63 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services36 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
36 services34 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.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
26%457 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%642 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%642 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims1,920 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers95 claims20,470 services$1.71 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers15 claims60 services$1.51 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 14

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

MITCHELL ROBERT HEIDE PA
Physician Assistant
1455 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 917-9208
SUN MEADOW FAMILY MEDICINE INC
Family Medicine
1455 W CHANDLER BLVD, SUITE B-11
CHANDLER, AZ 85224
Maricopa County (480) 917-9208
NADA FATHI WASHINGTON PA-C
Physician Assistant
1455 W CHANDLER BLVD, BUILDING A
CHANDLER, AZ 85224
Maricopa County (480) 899-2900
LARRY S TAMBURRO MD
Family Medicine
1455 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 899-2900
SUSAN BRIONES MD
Family Medicine
1455 W CHANDLER BLVD, STE. B-11
CHANDLER, AZ 85224
Maricopa County (480) 917-9208
JAMES JARVISE P.A.-C.
Physician Assistant
1455 W CHANDLER BLVD, BLDG A SUITE 4
CHANDLER, AZ 85224
Maricopa County (482) 899-2900
DR. ANTHONY J DYER M.D.
Urology
1455 W CHANDLER BLVD, SUITE B-8
CHANDLER, AZ 85224
Maricopa County (480) 899-1696
MR. DAVID W GANNON MD
Family Medicine
1455 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 899-2900

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 Marlou Heiland's NPI number?

The NPI number for Marlou Heiland is 1730180431. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Marlou Heiland located?

Marlou Heiland practices at 1455 W Chandler Blvd Bldg B #8, Chandler, AZ 85224. The listed phone number is (480) 899-1696.

What is Marlou Heiland's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marlou Heiland enrolled in Medicare?

Yes. Marlou Heiland 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 Marlou Heiland accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Providence Health Plan list Marlou Heiland 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 Marlou Heiland affiliated with any hospitals?

According to CMS data, Marlou Heiland is affiliated with Salem Hospital, West Valley Hospital and St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Marlou Heiland was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.