DR. HEATHER STOOKSBURY DO
NPI 1518346402
Internal Medicine in Oak Ridge, TN

Active since May 25, 2015PECOS EnrolledAccepts Medicare Assignment
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830(865) 835-1000 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Heather Stooksbury Do NPPES

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

DR. HEATHER STOOKSBURY DO (NPI 1518346402) is an individual internal medicine provider in Oak Ridge, Tennessee, licensed in Tennessee (3714) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1518346402
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HEATHER STOOKSBURYCredential: DO
Location Address990 OAK RIDGE TPKEOak Ridge, TN 37830-6976
Mailing Address990 Oak Ridge TpkeOak Ridge, TN 37830-6976 · (865) 835-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 25, 2015
Last NPPES UpdateJune 13, 2019
NPI 1518346402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 3714
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
990 OAK RIDGE TPKE, Oak Ridge, TN 37830

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. Heather Stooksbury Do 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 ID2567767973
PECOS Enrollment IDI20191010001998
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
389 services357 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Big South Fork Medical Center

Critical Access Hospitals · Oneida, TN
OwnershipProprietary
CMS Certification Number441323
Location18797 Alberta StreetOneida, TN 37841 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers20 claims20 services$15.59 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 20

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

Dietitian, Registered
990 OAK RIDGE TPKE, FOOD AND NUTRITION SERVICES
OAK RIDGE, TN 37830
Emergency Medicine
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Internal Medicine
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Nurse Anesthetist, Certified Registered
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Student in an Organized Health Care Education/Training Program
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Dietitian, Registered
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Radiology (Diagnostic Radiology)
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830
Nurse Anesthetist, Certified Registered
990 OAK RIDGE TPKE
OAK RIDGE, TN 37830

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 Stooksbury's NPI number?

The NPI number for Heather Stooksbury is 1518346402. It was assigned to this individual provider in the NPPES registry on May 25, 2015.

Where is Heather Stooksbury located?

Heather Stooksbury practices at 990 Oak Ridge Tpke, Oak Ridge, TN 37830. The listed phone number is (865) 835-1000.

What is Heather Stooksbury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heather Stooksbury enrolled in Medicare?

Yes. Heather Stooksbury 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.

Is Heather Stooksbury affiliated with any hospitals?

According to CMS data, Heather Stooksbury is affiliated with Cumberland Medical Center, Roane Medical Center, Methodist Medical Center Of Oak Ridge, Fort Sanders Regional Medical Center and Big South Fork Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Stooksbury was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.