HEATHER C UPCHURCH PA-C
NPI 1104869569
Physician Assistant - Medical in Crown Point, IN

Q: What is Heather Upchurch's NPI number?

The NPI number for Heather Upchurch is 1104869569. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Heather Upchurch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Upchurch was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment

91.16/100

CMS Quality Rating

70 W 94TH PLACE, CROWN POINT, IN 46307(219) 662-8822(219) 662-8833 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2025, Feb 24, 2021 (2 updates tracked since 2021).

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About Heather C Upchurch Pa-c NPPES

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

HEATHER C UPCHURCH PA-C (NPI 1104869569) is an individual medical provider in Crown Point, Indiana, licensed in Indiana (10000889A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104869569

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER C UPCHURCHCredential: PA-C

Location Address70 W 94TH PLACECrown Point, IN 46307-1710

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(219) 662-8822

Fax(219) 662-8833

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 14, 2006

Last NPPES UpdateJune 27, 20252 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1104869569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10000889A

70 W 94TH PLACE, Crown Point, IN 46307

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Heather C Upchurch Pa-c 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 ID6507878782

PECOS Enrollment IDI20070412000453

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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

2,589 services328 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.

685 services444 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

583 services385 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.

472 services271 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

448 services319 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

227 services125 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.

99 services99 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

80 services74 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.

61 services61 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

43 services24 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services20 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

18 services11 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

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.

91.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

83.94

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

91%994 patients4/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%111 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 1,166 patients

Patients screened: 98% · 1,166 patients

100%73 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

99%1,073 patients4/55-star benchmark: 100%

Psoriasis: Clinical Response to Systemic Medications

93%45 patients

Tobacco Use and Help with Quitting Among Adolescents

93%321 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

MITCHELL L BRESSACK M.D.

Dermatology

70 W 94TH PLACE
CROWN POINT, IN 46307

Lake County (219) 662-8822

MELANIE E. GRIEM M.D.

Dermatology

70 W 94TH PLACE
CROWN POINT, IN 46307

Lake County (219) 662-8822

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 Upchurch's NPI number?

The NPI number for Heather Upchurch is 1104869569. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Heather Upchurch located?

Heather Upchurch practices at 70 W 94th Place, Crown Point, IN 46307. The listed phone number is (219) 662-8822.

What is Heather Upchurch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Upchurch enrolled in Medicare?

Yes. Heather Upchurch 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 Heather Upchurch accept?

Health plans from CareSource list Heather Upchurch 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 Heather Upchurch affiliated with any hospitals?

According to CMS data, Heather Upchurch is affiliated with St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Heather Upchurch was last updated on June 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.