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HEATHER D CALHOUN
NPI 1649303041
Physician Assistant - Medical in Brookville, PA

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment
96.66/100
CMS Quality Rating
477 ROUTE 28, BROOKVILLE, PA 15825(814) 849-3035(814) 849-4341 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather D Calhoun NPPES

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

HEATHER D CALHOUN (NPI 1649303041) is an individual medical provider in Brookville, Pennsylvania, licensed in Pennsylvania (OA000941) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1649303041
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHEATHER D CALHOUN
Location Address477 ROUTE 28Brookville, PA 15825-7159
Mailing Address477 Route 28Brookville, PA 15825-7159 · (814) 849-3035 · Fax (814) 849-4341
Phone(814) 849-3035
Fax(814) 849-4341
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 14, 2007
Last NPPES UpdateDecember 3, 2012
✔ NPI 1649303041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · OA000941
477 ROUTE 28, Brookville, PA 15825
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Heather D Calhoun 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 ID5496992554
PECOS Enrollment IDI20130508000486
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.

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.
22 services22 patients
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.
17 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

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.

96.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities20

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.

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 supplier12 claims12 services$103.87 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 8

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

KATRINA HARRIGER PA-C
Physician Assistant
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
KIDNEY CARE SERVICES, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 375-4321
ALYSSA J BYERLY-HESCHKE PA-C
Physician Assistant
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
PRIMARY CARE ASSOCIATES OF WESTERN PA.
Clinic/Center (Primary Care)
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
DR. THOMAS DOMINIC SNEERINGER DO
Family Medicine
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
ASHLEY BEVAK
Physician Assistant (Medical)
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
PRIMARY CARE ASSOCIATES OF WESTERN PENNSYLVANIA PC
Family Medicine
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035
JOSHUA R. NOERR FNP-C
Nurse Practitioner (Family)
477 ROUTE 28
BROOKVILLE, PA 15825
Jefferson County (814) 849-3035

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 Calhoun's NPI number?

The NPI number for Heather Calhoun is 1649303041. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Heather Calhoun located?

Heather Calhoun practices at 477 Route 28, Brookville, PA 15825. The listed phone number is (814) 849-3035.

What is Heather Calhoun's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Calhoun enrolled in Medicare?

Yes. Heather Calhoun 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 Heather Calhoun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Heather Calhoun 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 Heather Calhoun affiliated with any hospitals?

According to CMS data, Heather Calhoun is affiliated with Allegheny Valley Hospital, Acmh Hospital and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Calhoun was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.