Doctor profile · Federal record

Dr. Heysook Wanta

Gastroenterology Physician (CMS: Nurse Practitioner) · New York, NY

  • NPI 1164964680
  • Accepts Medicare
  • MIPS 93.4 / 100 · 2023
  • 12 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1315 York Ave
New York, NY 100215304
(212) 746-5077
Mailing address
568 Ashford Ave
Ardsley, NY 105021602

Credentials & registration

NPPES · NUCC
NPI registered
November 2016 — 10 yrs on file
Profile last updated
October 14, 2021
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
207RG0100X — NUCC code
State license (1)
New York #F339118

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164964680. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
133
Distinct HCPCS
4
Medicare allowed
$9,024
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 52 50 $64
99202 New patient office or other outpatient visit, 15-29 minutes 32 32 $47
99203 New patient office or other outpatient visit, 30-44 minutes 32 32 $81
99214 Established patient office or other outpatient visit, 30-39 minutes 17 16 $94

In context: peer comparison

Among 165 peers in this city , average services per provider: 69. This provider delivers 1.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
71
Patients
70
Total drug cost
$1,180
Drug Type Claims Patients Total cost
Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) Brand 71 70 $1,180

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Heysook Wanta's medical specialty?
Dr. Heysook Wanta practices Gastroenterology Physician in New York, NY.
Where does Dr. Heysook Wanta practice?
Dr. Heysook Wanta practices at 1315 York Ave, New York, NY 100215304. Office phone: 2127465077.
What is Dr. Heysook Wanta's NPI?
Dr. Heysook Wanta's National Provider Identifier (NPI) is 1164964680, issued by NPPES.
Does Dr. Heysook Wanta accept Medicare assignment?
Yes. Dr. Heysook Wanta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Heysook Wanta commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99202); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.