EMILY NICOLE HERONEMUS DO
NPI 1043624349
Family Medicine - Sports Medicine in Lawrence, KS

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
6265 ROCK CHALK DR, SUITE 1500, LAWRENCE, KS 66049(785) 843-9125(785) 505-5312 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Nov 23, 2020, Sep 30, 2020 and 1 more (4 updates tracked since 2018).

About Emily Nicole Heronemus Do NPPES

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

EMILY NICOLE HERONEMUS DO (NPI 1043624349) is an individual sports medicine provider in Lawrence, Kansas, licensed in Kansas (05-39711) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1043624349
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameEMILY NICOLE HERONEMUSCredential: DO
Location Address6265 ROCK CHALK DR, SUITE 1500Lawrence, KS 66049
Mailing Address325 Maine Street, Mso LibraryLawrence, KS 60444 · (785) 843-9125 · Fax (785) 505-5312
Fax(785) 505-5312
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 13, 2014
Last NPPES UpdateSeptember 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1043624349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in KS · 05-39711
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
6265 ROCK CHALK DR, Lawrence, KS 66049

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Nicole Heronemus Do 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 ID4587880216
PECOS Enrollment IDI20180913000755
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.

Areas of Expertise CMS Part B claims 18

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.

Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
34,268 services167 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.
232 services146 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
202 services130 patients
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.
109 services85 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
102 services102 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
58 services45 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66049 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

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.

Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Social Worker (Clinical)
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Family Medicine
6265 ROCK CHALK DR, SUITE 1100
LAWRENCE, KS 66049
Orthopaedic Surgery
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Orthopaedic Surgery (Foot and Ankle Surgery)
6265 ROCK CHALK DR, SUITE 1500
LAWRENCE, KS 66049
Occupational Therapist
6265 ROCK CHALK DR
LAWRENCE, KS 66049
Surgery (Surgical Oncology)
6265 ROCK CHALK DR, SUITE 2400
LAWRENCE, KS 66049
Nurse Practitioner (Psychiatric/Mental Health)
6265 ROCK CHALK DR
LAWRENCE, KS 66049

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 Emily Heronemus's NPI number?

The NPI number for Emily Heronemus is 1043624349. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Emily Heronemus located?

Emily Heronemus practices at 6265 Rock Chalk Dr Suite 1500, Lawrence, KS 66049. The listed phone number is (785) 843-9125.

What is Emily Heronemus's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Emily Heronemus enrolled in Medicare?

Yes. Emily Heronemus 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.

What insurance does Emily Heronemus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Emily Heronemus 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 Emily Heronemus affiliated with any hospitals?

According to CMS data, Emily Heronemus is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for Emily Heronemus was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.