LEAH HERON M.D.
NPI 1528440245
Emergency Medicine in Marquette, MI

Q: What is Leah Heron's NPI number?

The NPI number for Leah Heron is 1528440245. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Q: What is Leah Heron's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Leah Heron was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment

850 W BARAGA AVE, MARQUETTE, MI 49855(906) 449-3050 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2019, Jun 11, 2018 (2 updates tracked since 2018).

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About Leah Heron M.d. NPPES

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

LEAH HERON M.D. (NPI 1528440245) is an individual emergency medicine provider in Marquette, Michigan, licensed in Michigan (4301108109) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Michigan State University College Of Human Medicine (2015).

NPPES Registry Identity

NPI1528440245

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameLEAH HERONCredential: M.D.

Location Address850 W BARAGA AVEMarquette, MI 49855-4550

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(906) 449-3050

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2015

Enumeration DateJune 19, 2015

Last NPPES UpdateDecember 4, 20192 updates tracked since enumeration

✔ NPI 1528440245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MI · 4301108109✔ Licensed in MN · 62969

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

850 W BARAGA AVE, Marquette, MI 49855

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Heron M.d. 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 ID3870805161

PECOS Enrollment IDI20190716000651

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 Reassignments

Medicare enrollment records show Leah Heron reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Marquette Physician Practices Inc

0.9 mi

Surgery

107 W MAIN ST
Marquette, MI 49855

Reassigned Medicare billing, Michigan enrollment
440 clinicians in this Medicare group

NPI 1861748568 (906) 225-7188

Acquisition Bell Hospital LLC

13 mi

Critical Access

901 LAKESHORE DR
Ishpeming, MI 49849

Reassigned Medicare billing, Michigan enrollment
61 clinicians in this Medicare group

NPI 1699101345 (906) 486-4431

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 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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

119 services107 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

117 services112 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

77 services77 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

32 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230054

Location850 W Baraga AveMarquette, MI 49855 · Marquette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

DR. ROBERT JOHN CARROLL M.D.

Hospitalist