STANTON PAUL HEYDINGER MD
NPI 1174147003
Ophthalmology in Jackson, MS

Active since June 06, 2020PECOS Enrolled
764 LAKELAND DR, JACKSON, MS 39216(601) 984-5020 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Jun 6, 2020 (2 updates tracked since 2020).

About Stanton Paul Heydinger Md NPPES

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

STANTON PAUL HEYDINGER MD (NPI 1174147003) is an individual ophthalmology provider in Jackson, Mississippi, licensed in Mississippi (T-5312) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174147003
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTANTON PAUL HEYDINGERCredential: MD
Location Address764 LAKELAND DRJackson, MS 39216-4651
Mailing Address118 Copper Ridge CtMadison, MS 39110-6948
Sole ProprietorNo
Enumeration DateJune 6, 2020
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1174147003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MS · T-5312
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
764 LAKELAND DR, Jackson, MS 39216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stanton Paul Heydinger Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 17

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

Plastic Surgery
764 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
764 LAKELAND DR
JACKSON, MS 39216
Family Medicine
764 LAKELAND DR, 2ND FLOOR
JACKSON, MS 39216
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Family Medicine
764 LAKELAND DR
JACKSON, MS 39216
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR
JACKSON, MS 39216
Otolaryngology
764 LAKELAND DR
JACKSON, MS 39216
Specialist
764 LAKELAND DR, STE 400
JACKSON, MS 39216

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 Stanton Heydinger's NPI number?

The NPI number for Stanton Heydinger is 1174147003. It was assigned to this individual provider in the NPPES registry on June 6, 2020.

Where is Stanton Heydinger located?

Stanton Heydinger practices at 764 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 984-5020.

What is Stanton Heydinger's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Stanton Heydinger enrolled in Medicare?

Yes. Stanton Heydinger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stanton Heydinger was last updated on July 1, 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.