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ALISHA M HEATON OD
NPI 1659605848
Optometrist in Post Falls, ID

Active since September 22, 2009PECOS EnrolledAccepts Medicare Assignment
97.96/100
CMS Quality Rating
1901 E SELTICE WAY, POST FALLS, ID 83854(208) 667-2531(208) 765-9385 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Dec 15, 2021, Aug 29, 2019 (3 updates tracked since 2019).

About Alisha M Heaton Od NPPES

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

ALISHA M HEATON OD (NPI 1659605848) is an individual optometrist in Post Falls, Idaho, licensed in Idaho (ODP-100199) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2009).

NPPES Registry Identity

NPI1659605848
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALISHA M HEATONCredential: OD
Location Address1901 E SELTICE WAYPost Falls, ID 83854-9647
Mailing Address16010 E Indiana AveSpokane Valley, WA 99216-1813 · (509) 928-8040 · Fax (509) 928-0784
Phone(208) 667-2531
Fax(208) 765-9385
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2009
Enumeration DateSeptember 22, 2009
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1659605848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in ID · ODP-100199✔ Licensed in MT · 809
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1901 E SELTICE WAY, Post Falls, ID 83854
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Other Identifiers 2

Medicaid1659605848ID
Medicaid2071233WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Alisha M Heaton Od 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 ID2961661442
PECOS Enrollment IDI20120302000511
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 10

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
600 services354 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
443 services420 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
202 services173 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
175 services175 patients
Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
153 services77 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
96 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83854 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

97.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
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 Alisha Heaton's NPI number?

The NPI number for Alisha Heaton is 1659605848. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Alisha Heaton located?

Alisha Heaton practices at 1901 E Seltice Way, Post Falls, ID 83854. The listed phone number is (208) 667-2531.

What is Alisha Heaton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alisha Heaton enrolled in Medicare?

Yes. Alisha Heaton 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 Alisha Heaton accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Alisha Heaton 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 Alisha Heaton was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.