HEATHER POPHAM NP
NPI 1093086985
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since January 24, 2012PECOS EnrolledAccepts Medicare Assignment
3009 N BALLAS RD, STE 207B, SAINT LOUIS, MO 63131(314) 996-7960(314) 989-0235 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Heather Popham Np NPPES

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

HEATHER POPHAM NP (NPI 1093086985) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2011041207) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093086985
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHEATHER POPHAMCredential: NP
Location Address3009 N BALLAS RD, STE 207BSaint Louis, MO 63131-2322
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (314) 996-7960 · Fax (314) 989-0235
Fax(314) 989-0235
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 24, 2012
Last NPPES UpdateOctober 15, 2014
✔ NPI 1093086985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2011041207
3009 N BALLAS RD, Saint Louis, MO 63131

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Popham Np 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 ID2163684408
PECOS Enrollment IDI20120502000143
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

2

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

Internal Medicine
12380 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 38 clinicians in this Medicare group
Psychiatry
4905 MEXICO RD STE 400
Saint Peters, MO 63376
  • Reassigned Medicare billing, Missouri enrollment
  • 47 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services84 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.
83 services62 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.
41 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

Dermatology (MOHS-Micrographic Surgery)
3009 N BALLAS RD, STE 235A
SAINT LOUIS, MO 63131
Physician Assistant
3009 N BALLAS RD, BUILDING B, SUITE 202
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 300A
SAINT LOUIS, MO 63131
Clinic/Center (Primary Care)
3009 N BALLAS RD, SUITE 315A
SAINT LOUIS, MO 63131
Surgery (Surgery of the Hand)
3009 N BALLAS RD, DEPT ORTHOPAEDIC SURGERY, STE 320
SAINT LOUIS, MO 63131
Internal Medicine
3009 N BALLAS RD, SUITE 227A
SAINT LOUIS, MO 63131
Specialist
3009 N BALLAS RD, STE 215B
SAINT LOUIS, MO 63131

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 Popham's NPI number?

The NPI number for Heather Popham is 1093086985. It was assigned to this individual provider in the NPPES registry on January 24, 2012.

Where is Heather Popham located?

Heather Popham practices at 3009 N Ballas Rd Ste 207B, Saint Louis, MO 63131. The listed phone number is (314) 996-7960.

What is Heather Popham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Heather Popham enrolled in Medicare?

Yes. Heather Popham 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.

Which organizations bill Medicare for Heather Popham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Popham reassigns Medicare benefits to 2 organizations: Impact Physician Group, Missouri, LLC (Bridgeton, MO) and Serenity Health LLC (Saint Peters, MO). 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 Popham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Popham accept?

Health plans from UnitedHealthcare list Heather Popham 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 Popham was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.