HEATHER MARIE STAPLES MD
NPI 1265872162
Pediatrics - Pediatric Pulmonology in Columbia, SC

NPI Status: Active since June 25, 2013

Contact Information

9 RICHLAND MEDICAL PARK DR STE 505
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-2505
Fax: (803) 434-2181

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Pediatric Pulmonology
Accepts Insurance
PECOS Enrolled

About HEATHER STAPLES

This page provides the complete NPI Profile along with additional information for Heather Staples, a pediatrician established in Columbia, South Carolina with a medical specialization in Pediatrics, focusing in pediatric pulmonology . The healthcare provider is registered in the NPI registry with number 1265872162 assigned on June 2013. The practitioner's primary taxonomy code is 2080P0214X with license number 35951 (SC). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI: 1265872162
Provider Name: HEATHER MARIE STAPLES MD
Gender: Female
Entity Type: Individual
Location Address: 9 RICHLAND MEDICAL PARK DR STE 505 COLUMBIA, SC 29203
Location Phone: (803) 434-2505
Location Fax: (803) 434-2181
Mailing Address: PO BOX 743904 ATLANTA, GA 30374
Mailing Phone: (803) 296-7320
Mailing Fax: (803) 434-2181
Is Sole Proprietor?: No
Enumeration Date: 06-25-2013
Last Update Date: 07-24-2019
Code Navigator

A pediatrician like Heather Staples is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Secondary Locations

6701 Fannin St Suite 1040
Houston, TX 77030
(832) 822-3995
6701 Fannin St Suite 1040
Houston, TX 77030
(832) 822-3995

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics Pediatric Pulmonology
Taxonomy Code: 2080P0214X
Type: Allopathic & Osteopathic Physicians
License No.: 35951
License State: SC
Taxonomy Description: A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208000000X	Allopathic & Osteopathic Physicians	Pediatrics	Q7970 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Absolute Total Care

Clear Silver - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Ambetter of North Carolina

Clear Silver with $0 Insulin Options - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Gold with Atrium Health - HMO
Complete Gold with Atrium Health + Vision + Adult Dental - HMO
Complete Silver with Atrium Health - HMO
Complete Silver with Atrium Health + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Bronze with Atrium Health - HMO

BlueCross BlueShield of South Carolina

Blue Direction Silver 1 - POS
Blue Direction Silver 1 + Adult Vision - POS
Blue Direction Silver 2 - POS
Blue Direction Standard Gold - POS
Blue Direction Standard Silver - POS
Blue VirtuConnect Bronze 1 - EPO
Blue VirtuConnect Gold 1 - EPO
Blue VirtuConnect Silver 1 - EPO
BlueEssentials Bronze 4 - EPO
BlueEssentials Bronze 6 - EPO

WellCare of North Carolina

Standard Expanded Bronze WellCare - PPO
Standard Gold WellCare - PPO
Standard Silver WellCare - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
359515	MEDICAID (05)	SC

Medicare Participation & PECOS Enrollment Status

Heather Staples is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	6	5	8	7	2	1	6	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	12	5	16	7	4	1	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 7 + 4 + 1 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2									2

The NPI number 1265872162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.