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MS. HEATHER LEIGH PRIDGEN POWELL PA-C
NPI 1346642311
Physician Assistant in Waldorf, MD

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
11637 TERRACE DR STE 100, WALDORF, MD 20602(301) 870-7287(301) 870-0687 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Aug 7, 2017, Jul 7, 2017 (3 updates tracked since 2017).

About Ms. Heather Leigh Pridgen Powell Pa-c NPPES

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

MS. HEATHER LEIGH PRIDGEN POWELL PA-C (NPI 1346642311) is an individual physician assistant in Waldorf, Maryland, licensed in Florida (PA9113940) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346642311
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. HEATHER LEIGH PRIDGEN POWELLCredential: PA-C
Location Address11637 TERRACE DR STE 100Waldorf, MD 20602-3707
Mailing Address11637 Terrace Dr Ste 100Waldorf, MD 20602-3707 · (301) 870-7287 · Fax (904) 493-3395
Phone(301) 870-7287
Fax(301) 870-0687
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 22, 2014
Last NPPES UpdateApril 6, 20213 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1346642311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9113940✔ Licensed in MD · C06485
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11637 TERRACE DR STE 100, Waldorf, MD 20602
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Other Identifiers 1

OtherY0PK3FL · Florida Blue

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

Ms. Heather Leigh Pridgen Powell 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 ID2668794124
PECOS Enrollment IDI20141211001450
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
884 services131 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
280 services169 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
124 services44 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
77 services74 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
55 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.89
Promoting Interoperability100
Improvement Activities40
Cost39.54

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.

C C NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
11637 TERRACE DR STE 100
WALDORF, MD 20602
Charles County (301) 870-7287
ALLY INFUSION, LLC
Psychiatry & Neurology (Neurology)
11637 TERRACE DR STE 100
WALDORF, MD 20602
Charles County (301) 870-7287

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 Powell's NPI number?

The NPI number for Heather Powell is 1346642311. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Heather Powell located?

Heather Powell practices at 11637 Terrace Dr Ste 100, Waldorf, MD 20602. The listed phone number is (301) 870-7287.

What is Heather Powell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Powell enrolled in Medicare?

Yes. Heather Powell 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.

When was this NPI record last updated?

The NPPES record for Heather Powell was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.