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DR. LUCAS HELLER M.D.
NPI 1982970976
Internal Medicine - Endocrinology, Diabetes & Metabolism in Irwin, PA

Active since March 24, 2012PECOS EnrolledAccepts Medicare Assignment
8775 NORWIN AVE STE 100, IRWIN, PA 15642(833) 604-7211(724) 537-1066 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Apr 9, 2019 (2 updates tracked since 2019).

About Dr. Lucas Heller M.d. NPPES

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

DR. LUCAS HELLER M.D. (NPI 1982970976) is an individual endocrinology, diabetes & metabolism provider in Irwin, Pennsylvania, licensed in Pennsylvania (MD454094) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of West Virginia University School Of Medicine (2012).

NPPES Registry Identity

NPI1982970976
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. LUCAS HELLERCredential: M.D.
Location Address8775 NORWIN AVE STE 100Irwin, PA 15642-7705
Mailing Address8775 Norwin Ave Ste 100Irwin, PA 15642-7705 · (833) 604-7211 · Fax (724) 537-1066
Phone(833) 604-7211
Fax(724) 537-1066
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2012
Enumeration DateMarch 24, 2012
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1982970976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD454094
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Lucas 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 ID5395090781
PECOS Enrollment IDI20180627000032
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

2

Medicare enrollment records show Lucas Heller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Medical Providers
Endocrinology, Diabetes & Metabolism
127 ONEIDA VALLEY RD STE 101
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1023478237 (833) 604-7211
Excela Health Physician Practices, Inc.
Rheumatology
505 N 4TH ST
Youngwood, PA 15697
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1013355635 (724) 689-1835

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 4

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.
188 services142 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services14 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.
24 services22 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

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
12 suppliers35 claims133 services$6.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims22 services$1.13 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers16 claims2,380 services$6.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers188 claims189 services$194.23 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

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

EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8775 NORWIN AVE STE 100
NORTH HUNTINGDON, PA 15642
Westmoreland County (833) 604-7211

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 Lucas Heller's NPI number?

The NPI number for Lucas Heller is 1982970976. It was assigned to this individual provider in the NPPES registry on March 24, 2012.

Where is Lucas Heller located?

Lucas Heller practices at 8775 Norwin Ave Ste 100, Irwin, PA 15642. The listed phone number is (833) 604-7211.

What is Lucas Heller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Lucas Heller enrolled in Medicare?

Yes. Lucas 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.

Which organizations bill Medicare for Lucas Heller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Heller reassigns Medicare benefits to 2 organizations: Butler Medical Providers (Butler, PA) and Excela Health Physician Practices, Inc. (Youngwood, PA). 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 Lucas Heller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Heller accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lucas 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 Lucas Heller affiliated with any hospitals?

According to CMS data, Lucas Heller is affiliated with Heritage Valley Beaver, Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Lucas Heller was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.