HEATHER M FELTON M.D.
NPI 1083938534
Pediatrics in Louisville, KY

Q: What is Heather Felton's NPI number?

The NPI number for Heather Felton is 1083938534. It was assigned to this individual provider in the NPPES registry on March 25, 2010. The provider is also known as Heather M Dettro M.D..

Q: What is Heather Felton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Felton was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 25, 2010PECOS Enrolled

1169 EASTERN PKWY STE 100, LOUISVILLE, KY 40217(502) 588-0700(502) 588-7886 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Oct 16, 2020, Mar 16, 2020 and 2 more (5 updates tracked since 2016).

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About Heather M Felton M.d. NPPES

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

HEATHER M FELTON M.D. (NPI 1083938534) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (45845) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083938534

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHEATHER M FELTONCredential: M.D.

Location Address1169 EASTERN PKWY STE 100Louisville, KY 40217-1472

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (025) 889-4905 · Fax (502) 272-5116

Phone(502) 588-0700

Fax(502) 588-7886

Sole ProprietorNo

Enumeration DateMarch 25, 2010

Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1083938534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 45845

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1169 EASTERN PKWY STE 100, Louisville, KY 40217

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Other Names 1

Former Name (1)Heather M Dettro M.d.

Other Identifiers 2

Medicaid201160370IN

Medicaid7100171530KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather M Felton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

University Of Louisville Physicians, Inc.

1.8 mi

Neurology

550 S JACKSON ST, 2ND FLOOR
Louisville, KY 40202

Reassigned Medicare billing, Kentucky enrollment
2,337 clinicians in this Medicare group

NPI 1972860997 (502) 562-6506

Norton Children's Medical Group, LLC

9.9 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 2

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

MARIA F NOTA M.D.

Pediatrics

1169 EASTERN PKWY STE 100
LOUISVILLE, KY 40217

Jefferson County (502) 588-0700

ABIGAIL MARIE WILLIAMS M.D.

Pediatrics

1169 EASTERN PKWY STE 100
LOUISVILLE, KY 40217

Jefferson County (502) 588-0700

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 Heather Felton's NPI number?

The NPI number for Heather Felton is 1083938534. It was assigned to this individual provider in the NPPES registry on March 25, 2010. The provider is also known as Heather M Dettro M.D..

Where is Heather Felton located?

Heather Felton practices at 1169 Eastern Pkwy Ste 100, Louisville, KY 40217. The listed phone number is (502) 588-0700.

What is Heather Felton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heather Felton enrolled in Medicare?

Yes. Heather Felton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Felton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Felton reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Heather Felton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Felton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Heather Felton 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.

When was this NPI record last updated?

The NPPES record for Heather Felton was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.