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DR. HERMAN CHARLES HEIKKENEN MD
NPI 1437228749
Family Medicine in Prescott, AZ

Active since November 08, 2006PECOS Enrolled
75/100
CMS Quality Rating
1003 DIVISION ST, STE 1 ROCKY MOUNTAIN MEDICAL PLLC, PRESCOTT, AZ 86301(928) 777-2425(928) 777-9044 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Herman Charles Heikkenen Md NPPES

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

DR. HERMAN CHARLES HEIKKENEN MD (NPI 1437228749) is an individual family medicine provider in Prescott, Arizona, licensed in Arizona (32037) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1437228749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HERMAN CHARLES HEIKKENENCredential: MD
Location Address1003 DIVISION ST, STE 1 ROCKY MOUNTAIN MEDICAL PLLCPrescott, AZ 86301
Mailing AddressPo Box 2527, Rocky Mountain Medical PllcPrescott, AZ 86302 · (928) 777-2425 · Fax (928) 777-9044
Phone(928) 777-2425
Fax(928) 777-9044
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateNovember 8, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1437228749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 32037
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1003 DIVISION ST, Prescott, AZ 86301
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING23577
Medicare ID-Type UnspecifiedZ83290
Medicare PINZ115120

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Herman Charles Heikkenen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335048917
PECOS Enrollment IDI20040102000354
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.

Medicare Billing Reassignment

Medicare enrollment records show Herman Heikkenen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rocky Mountain Medical PLLC
Same address
Family Medicine
1003 DIVISION ST, STE 1
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
NPI 1285773549 (928) 777-2425

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
664 services185 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
160 services160 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
151 services151 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.
148 services148 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.
25 services22 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.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$16.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$83.36 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 6

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

HIGH DESERT DIAGNOSTIC LABORATORY
Clinical Medical Laboratory
1003 DIVISION ST, SUITE 5
PRESCOTT, AZ 86301
Yavapai County (928) 445-0103
ROCKY MOUNTAIN MEDICAL PLLC
Family Medicine
1003 DIVISION ST, STE 1
PRESCOTT, AZ 86301
Yavapai County (928) 777-2425
AKDHC, LLC
Internal Medicine (Nephrology)
1003 DIVISION ST, STE 5
PRESCOTT, AZ 86301
Yavapai County (928) 445-7632
MRS. REBECCA ANN OLDANI NP
Nurse Practitioner (Family)
1003 DIVISION ST, SUITE 2
PRESCOTT, AZ 86301
Yavapai County (928) 717-0724
MS. ELIZABETH GALLO R.D.
Nutritionist
1003 DIVISION ST, STE 5
PRESCOTT, AZ 86301
Yavapai County (928) 445-7632
DR. MICHAEL ALAN DEAN M.D.
Family Medicine
1003 DIVISION ST, SUITE 2
PRESCOTT, AZ 86301
Yavapai County (928) 778-7080

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 Herman Heikkenen's NPI number?

The NPI number for Herman Heikkenen is 1437228749. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Herman Heikkenen located?

Herman Heikkenen practices at 1003 Division St Ste 1 Rocky Mountain Medical PLLC, Prescott, AZ 86301. The listed phone number is (928) 777-2425.

What is Herman Heikkenen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Herman Heikkenen enrolled in Medicare?

Yes. Herman Heikkenen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Herman Heikkenen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Herman Heikkenen reassigns Medicare benefits to Rocky Mountain Medical PLLC (Prescott, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Herman Heikkenen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Herman Heikkenen accept?

Health plans from Blue Cross Blue Shield of Arizona list Herman Heikkenen 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 Herman Heikkenen was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.