Individual provider Active NPI

Paul W Heberle, D.O.

  • Pain Medicine Physician
  • Edinboro, PA
National Provider Identifier
1528173192
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
OS008790L Issued in PA
Practice address
18244 Irish Rd
Edinboro, PA 16412-4734
Phone
(814) 734-3633
Fax
(814) 734-1349
NPI assigned
Aug 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS008790L PA
Internal Medicine Physician 207R00000X OS008790L PA
Pain Medicine Physician 208VP0000X OS008790L PA Primary

Addresses

Primary practice location

18244 Irish Rd
Edinboro, PA 16412-4734

Mailing address

PO Box 573
18244 Irish Road
Edinboro, PA 16412-0573
Phone (814) 734-3633

Other identifiers 1

IdentifierTypeStateIssuer
0018002500008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000958 PA Practitioner - Internal MedicinePractitioner - Addiction Medicine 6709871031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Corry Memorial Hospital Association CurrentSince Jan 20, 2024 Accepting new patients
Corry Memorial Hospital Association CurrentSince Jan 20, 2024 Accepting new patients
Osteopathic Internal Medicine Associates Inc. Internal Medicine CurrentSince Jan 20, 2024 Accepting new patients
Corry Memorial Hospital Association CurrentSince Nov 20, 2025 Accepting new patients

Locations

612 W Smith St
Corry, PA 16407
Phone (814) 664-4641

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

1 Lecom Pl
Erie, PA 16505

2010 W 38th St
Erie, PA 16508
Phone (814) 866-3986

2010 W 38th St
Lowr
Erie, PA 16508
Phone (814) 868-5481

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10044/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/corrymh-73713d5f

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528173192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "address_2": "18244 IRISH ROAD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164120573",
            "telephone_number": "814-734-3633",
            "fax_number": "814-734-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18244 IRISH RD",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164124734",
            "telephone_number": "814-734-3633",
            "fax_number": "814-734-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERLE",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS008790L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS008790L",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "OS008790L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018002500008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

Verify at the official NPI Registry.