HEATHER ANNE BERKHEIMER DMD
NPI 1326156977
Dentist - General Practice in Asheville, NC
NPI Status: Active since August 25, 2006
Contact Information
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
Phone: (828) 285-0622
Fax: (828) 285-9831
- Individual
- Female
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About HEATHER BERKHEIMER
This page provides the complete NPI Profile along with additional information for Heather Berkheimer, a provider established in Asheville, North Carolina with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1326156977 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 7212 (NC). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1326156977
- Provider Name
- HEATHER ANNE BERKHEIMER DMD
- Other Name
- HEATHER ANNE BALD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 257 BILTMORE AVE ASHEVILLE, NC 28801
- Location Phone
- (828) 285-0622
- Location Fax
- (828) 285-9831
- Mailing Address
- PO BOX 338 ASHEVILLE, NC 28802
- Mailing Phone
- (828) 285-0622
- Mailing Fax
- (828) 285-9831
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-25-2006
- Last Update Date
- 08-07-2018
- Code Navigator
A dentist like Heather Berkheimer is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 1400 Walter Reed Rd Ste 200
Fayetteville, NC 28304
(910) 864-9884
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
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 7212
- License State
- NC
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- 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
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Bronze with Atrium Health - HMO
- Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Focused Silver with Atrium Health - HMO
- Focused Silver with Atrium Health + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
- Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
- Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Bronze Standard | with Novant Health - EPO
- Blue Home Bronze Standard | with UNC Health Alliance - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
- Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
- Blue Home Gold Standard | with Novant Health - EPO
- Blue Home Gold Standard | with UNC Health Alliance - EPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Basic Plan - PPO
- Delta Dental Ideal Plan - PPO
- Delta Dental Preferred Plan - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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 |
|---|---|---|---|
| 89-902HP | MEDICAID (05) | NC | |
| 902HP | OTHER (01) | BLUE CROSS BLUE SHIELD NC |
Medicare Participation & PECOS Enrollment Status
Heather Berkheimer 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) and a Home Health Agency (HHA).
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: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 3 | 2 | 6 | 1 | 5 | 6 | 9 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 5 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 5 + 1 + 2 + 9 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1326156977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JEANNE DAY LCSW
Social Worker
(Clinical)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
DIANE L SANDERS LCSW
Social Worker
(Clinical)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
ARP PHOENIX
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
MAUREEN E LINNEMAN LPC
Counselor
(Professional)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
LYNN BEAMAN ENGLISH LPC
Counselor
(Professional)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
MADELINE COVERT APPELBAUM CSAC
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
ARP PHOENIX
ASHEVILLE, NC
ZIP 28801
ARP PHOENIX
Community/Behavioral Health
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
ARP PHOENIX - CALDWELL
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
MR. THOMAS PRICE BRITTON LCAS
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
STEPHANIE WATT MENDELSON CSAC
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
SISTERS OF MERCY CORPORATION
Clinic/Center
(Rehabilitation, Substance Use Disorder)
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
ARP/PHOENIX, INC.
Counselor
(Addiction (Substance Use Disorder))
257 BILTMORE AVE
SUITE 200
ASHEVILLE, NC
ZIP 28801
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES
Pharmacy
(Clinic Pharmacy)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES, INC.
Clinic/Center
(Community Health)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
WESTERN NORTH CAROLINA COMMUNITY HEALTH SERVICES INC.
Clinic/Center
(Federally Qualified Health Center (FQHC))
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
DR. MICHAEL M MEADOR D.O.
Family Medicine
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
HILARY GARRISON DDS
Dentist
(General Practice)
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
BRIDGET D KING MD
Family Medicine
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
MERCEDES A VOLK M.D.
Family Medicine
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
STEVEN TODD WALLENIUS M.D.
Family Medicine
257 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326156977, enumerated as an "individual" on August 25, 2006.
The provider is located at 257 BILTMORE AVE ASHEVILLE, NC 28801 and the phone number is (828) 285-0622.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
