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DR. MARILYN JOY HEPPERLE M.D, FRCP
NPI 1215086111
Specialist in Prattville, AL

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
645 MCQUEEN SMITH RD N, SUIT 302, PRATTVILLE, AL 36066(334) 361-7404(334) 361-7863 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marilyn Joy Hepperle M.d, Frcp NPPES

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

DR. MARILYN JOY HEPPERLE M.D, FRCP (NPI 1215086111) is an individual specialist in Prattville, Alabama, licensed in Alabama (20750) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1215086111
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. MARILYN JOY HEPPERLECredential: M.D, FRCP
Location Address645 MCQUEEN SMITH RD N, SUIT 302Prattville, AL 36066-7268
Mailing Address645 Mcqueen Smith Rd N, Suit 302Prattville, AL 36066-7268 · (334) 361-7404 · Fax (334) 361-7863
Phone(334) 361-7404
Fax(334) 361-7863
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJanuary 9, 2007
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1215086111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 20750
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
645 MCQUEEN SMITH RD N, Prattville, AL 36066
Open in Google Maps ↗

Other Identifiers 9

Medicaid000038657AL
Other110155714AL · Railroad Medicare
Medicare ID-Type Unspecified000038657HEP
Other051038657HEPAL · Blue Crossbluesheild
Medicare PIN000038657AL
Other4-10195United Health Care
Medicare UPING56665
MedicaidHE000038657AL
Other582326526AL · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company.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

Dr. Marilyn Joy Hepperle M.d, Frcp 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 ID9931201746
PECOS Enrollment IDI20100830000623
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 8

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.

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.
972 services233 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.
318 services123 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
290 services163 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
219 services219 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
41 services15 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
23 services18 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims115 services$7.10 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers11 claims11 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims45 services$1.24 avg. paid by Medicare
Indwelling catheter, foley type, two-way, all silicone, each A4344
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$14.01 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers11 claims3,560 services$1.73 avg. paid by Medicare
Insertion tray with drainage bag but without catheter A4354
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$10.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

DR. LUCIUS BEDFORD FREEMAN MD
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 105
PRATTVILLE, AL 36066
Autauga County (334) 361-7656
HEALING TOUCH FAMILY CARE, LLC
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 300
PRATTVILLE, AL 36066
Autauga County (334) 361-2121
DR. JAMES ROBERT CARPENTER M.D.
Family Medicine
645 MCQUEEN SMITH RD N, SUITE 101
PRATTVILLE, AL 36066
Autauga County (334) 365-5987
MEDICAL CARE ASSOCIATES
Specialist
645 MCQUEEN SMITH RD N, SUITE302
PRATTVILLE, AL 36066
Autauga County (334) 361-7404
MONTGOMERY CANCER CENTER LLC
Durable Medical Equipment & Medical Supplies
645 MCQUEEN SMITH RD N, SUITE 109
PRATTVILLE, AL 36066
Autauga County (334) 351-1000
TIMOTHY M MEADOWS OD
Optometrist
645 MCQUEEN SMITH RD N
PRATTVILLE, AL 36066
Autauga County (334) 481-2800
PRESCRIPTION EYEWEAR, INC.
Eyewear Supplier
645 MCQUEEN SMITH RD N, SUITE 109
PRATTVILLE, AL 36066
Autauga County (334) 365-9911
MR. PARHAM MORA M.D.
Surgery
645 MCQUEEN SMITH RD N, SUITE 205
PRATTVILLE, AL 36066
Autauga County (334) 361-6126

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 Marilyn Hepperle's NPI number?

The NPI number for Marilyn Hepperle is 1215086111. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Marilyn Hepperle located?

Marilyn Hepperle practices at 645 Mcqueen Smith Rd N Suit 302, Prattville, AL 36066. The listed phone number is (334) 361-7404.

What is Marilyn Hepperle's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Marilyn Hepperle enrolled in Medicare?

Yes. Marilyn Hepperle 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 Marilyn Hepperle accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Marilyn Hepperle 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 Marilyn Hepperle was last updated on February 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.