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WILLIAM JOHN HEERMAN M.D.
NPI 1598938060
Pediatrics in Nashville, TN

Active since April 07, 2008PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
VANDERBILT MEDICAL CENTER 1215 21ST AVE S, 7TH FLOOR, MCE, SUITE 2, NORTH TOWER, NASHVILLE, TN 37232(615) 936-1969 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, May 26, 2020, Mar 21, 2019 (3 updates tracked since 2019).

About William John Heerman M.d. NPPES

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

WILLIAM JOHN HEERMAN M.D. (NPI 1598938060) is an individual pediatrics provider in Nashville, Tennessee, licensed in Tennessee (45408) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2008).

NPPES Registry Identity

NPI1598938060
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameWILLIAM JOHN HEERMANCredential: M.D.
Location AddressVANDERBILT MEDICAL CENTER 1215 21ST AVE S, 7TH FLOOR, MCE, SUITE 2, NORTH TOWERNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Phone(615) 936-1969
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2008
Enumeration DateApril 7, 2008
Last NPPES UpdateApril 1, 20223 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1598938060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 45408
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 45408 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 45408 (TN)
Also ListedHospitalistTaxonomy 208M00000X · License 45408 (TN)
VANDERBILT MEDICAL CENTER 1215 21ST AVE S, Nashville, TN 37232
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Other Identifiers 3

Other4338471TN · Bluecross Blueshield
Medicaid7100200720KY
Medicaid1528586TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

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

William John Heerman 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 ID5092970996
PECOS Enrollment IDI20120627000146
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 3

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.
20 services15 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.
16 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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 William Heerman's NPI number?

The NPI number for William Heerman is 1598938060. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is William Heerman located?

William Heerman practices at Vanderbilt Medical Center 1215 21st Ave S 7th Floor, Mce, Suite 2, North Tower, Nashville, TN 37232. The listed phone number is (615) 936-1969.

What is William Heerman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is William Heerman enrolled in Medicare?

Yes. William Heerman 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.

What insurance does William Heerman accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list William Heerman 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.

Is William Heerman affiliated with any hospitals?

According to CMS data, William Heerman is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for William Heerman was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.