Physician

Michael Riley Heaphy, M.D.

According to 2025 Medicare claims, Michael Heaphy, M.D. (NPI: 1174620496) practices dermatology in the Reno, NV market, with the plurality of this provider's patient population coming from Washoe, NV. This provider's primary affiliated billing organization is MOUNTAIN WEST DERM - BLACKHART PLLC (NPI: 1740633015; TIN: 813253496) and primary practice location at 89509-4903.

Heaphy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 6,285 traditional Medicare patients, billed 13,709 HCPCS/CPT codes, and received $703,750 in Medicare payments. The top billing code was 88312 (Special stained specimen slides to identify organisms including interpretation and report). Part D data shows 162 prescription claims across 76 beneficiaries totaling $136,286 in drug costs, led by Rinvoq (Upadacitinib). Open Payments data shows 84 records totaling $142,295. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $33,400 to $703,750. Similarly, Part D prescription costs have risen steadily, from $8,080 to $136,286. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$352K$704K2015 Medicare payment: $33,400 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $20,871 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $15,074 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $282,489 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $544,747 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $545,949 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $649,513 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $690,591 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $703,373 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $703,750 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201561881$33,400
201642587$20,871
201745398$15,074
20182,4785,086$282,489
20194,59111,725$544,747
20204,73010,958$545,949
20215,52612,467$649,513
20226,13913,435$690,591
20236,21913,538$703,373
20246,28513,709$703,750

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$68K$136K2015 Drug cost: $8,080 (USD; Tot_Drug_Cst)2016 Drug cost: $14,715 (USD; Tot_Drug_Cst)2017 Drug cost: $5,466 (USD; Tot_Drug_Cst)2018 Drug cost: $4,072 (USD; Tot_Drug_Cst)2019 Drug cost: $11,064 (USD; Tot_Drug_Cst)2020 Drug cost: $65,595 (USD; Tot_Drug_Cst)2021 Drug cost: $14,977 (USD; Tot_Drug_Cst)2022 Drug cost: $28,164 (USD; Tot_Drug_Cst)2023 Drug cost: $85,018 (USD; Tot_Drug_Cst)2024 Drug cost: $136,286 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152890$8,080
20162580$14,715
20172786$5,466
20184795$4,072
201973204$11,064
202063138$65,595
202168153$14,977
202257134$28,164
202366157$85,018
202476162$136,286

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
88312Special stained specimen slides to identify organisms including interpretation and report120185$86
88342Special stained specimen slides to examine tissue, initial procedure566626$80
88341Special stained specimen slides to examine tissue, each additional procedure395631$68
88305Pathology examination of tissue using a microscope, intermediate complexity5,99710,233$53
88304Pathology examination of tissue using a microscope, moderately low complexity244260$32

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RinvoqUpadacitinib14420$104,448
Clobetasol PropionateClobetasol Propionate14443$512
HydrocortisoneHydrocortisone23588$303
Triamcinolone AcetonideTriamcinolone Acetonide26788$301

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.60$1,303ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.24$140,992ABBVIE INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael Riley Heaphy, M.D.?

Tedicare shows public-source Medicare data for Michael Riley Heaphy, M.D. (NPI 1174620496), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Michael Riley Heaphy, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael Riley Heaphy, M.D.?

Michael Riley Heaphy, M.D. is linked to MOUNTAIN WEST DERM - BLACKHART PLLC (billing NPI 1740633015) in the available physician profile data.

Does Michael Riley Heaphy, M.D. have Open Payments data?

Michael Riley Heaphy, M.D. has 84 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.