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MELISSA LYNN HEIRY M.B., B.CH., BAO
NPI 1851734255
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
901 WALNUT ST FL 4, PHILADELPHIA, PA 19107(215) 955-2724 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Lynn Heiry M.b., B.ch., Bao NPPES

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

MELISSA LYNN HEIRY M.B., B.CH., BAO (NPI 1851734255) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467888) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851734255
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMELISSA LYNN HEIRYCredential: M.B., B.CH., BAO
Location Address901 WALNUT ST FL 4Philadelphia, PA 19107-5214
Mailing Address246 Meadowfield LnJefferson Hills, PA 15025-3022 · (412) 655-3462
Phone(215) 955-2724
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateSeptember 10, 2019
✔ NPI 1851734255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD467888
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
901 WALNUT ST FL 4, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 1University Of Utah Hospital, 50 N Medical DriveSalt Lake City, UT 84132-0001 · Phone (801) 581-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Melissa Lynn Heiry M.b., B.ch., Bao 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 ID6608190020
PECOS Enrollment IDI20241002004078
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 Melissa Heiry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Peninsula Hospital Kenai Clinic
3,427 mi
Otolaryngology
220 SPUR VIEW DR
Kenai, AK 99611
  • Reassigned Medicare billing, Alaska enrollment
  • Medicare enrollment name: South Peninsula Hospital Inc
  • Also billed through NPI 1093968372 (Alaska)
  • 161 clinicians in this Medicare group
NPI 1164358529 (907) 235-8101

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 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.
137 services96 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.
81 services65 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
34 services19 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
22 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

LEAH SHABO MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-1234
KATHRYN ELIZABETH DENT MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
AUDREY LINA DEL RE MD
Psychiatry & Neurology (Neurology)
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (942) 521-5955
MARIAH SAMUELLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
GABRIELLE MENDES MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
LINDA ZHANG
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
DR. REBECCA MAYEDA MD
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9425
REGINA KURAPOVA
Student in an Organized Health Care Education/Training Program
901 WALNUT ST FL 4
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465

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 Melissa Heiry's NPI number?

The NPI number for Melissa Heiry is 1851734255. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Melissa Heiry located?

Melissa Heiry practices at 901 Walnut St Fl 4, Philadelphia, PA 19107. The listed phone number is (215) 955-2724.

What is Melissa Heiry's specialty?

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

Is Melissa Heiry enrolled in Medicare?

Yes. Melissa Heiry 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 Melissa Heiry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Heiry reassigns Medicare benefits to South Peninsula Hospital Kenai Clinic (Kenai, AK). 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 Melissa Heiry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Heiry accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Melissa Heiry 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.

When was this NPI record last updated?

The NPPES record for Melissa Heiry was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.