HEIDI L LODGE MD
NPI 1669426144
Internal Medicine in Douglas, AZ

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
100 E 5TH ST, STE 350, DOUGLAS, AZ 85607(520) 364-7659(520) 364-8541 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2022, Sep 24, 2020 (2 updates tracked since 2020).

About Heidi L Lodge Md NPPES

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

HEIDI L LODGE MD (NPI 1669426144) is an individual internal medicine provider in Douglas, Arizona, licensed in Arizona (22674) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1988).

NPPES Registry Identity

NPI1669426144
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEIDI L LODGECredential: MD
Location Address100 E 5TH ST, STE 350Douglas, AZ 85607-2859
Mailing Address101 Cole AveBisbee, AZ 85603-1327 · (520) 432-6481 · Fax (520) 432-5082
Fax(520) 364-8541
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1988
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1669426144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AZ · 22674
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.

100 E 5TH ST, Douglas, AZ 85607

Other Names 1

Former Name (1)Heidi Leake

Other Identifiers 1

Medicaid892887AZ

Accepted 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

Heidi L Lodge Md 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 ID7012922081
PECOS Enrollment IDI20060310000036
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85607 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers67 claims99 services$6.52 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers27 claims33 services$1.17 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier84 claims84 services$16.59 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.06 avg. paid by Medicare
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
4 suppliers107 claims107 services$83.22 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 15

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

Obstetrics & Gynecology
100 E 5TH ST
DOUGLAS, AZ 85607
Internal Medicine
100 E 5TH ST
DOUGLAS, AZ 85607
General Practice
100 E 5TH ST, CQCH BILLING DEPT
DOUGLAS, AZ 85607
Internal Medicine (Nephrology)
100 E 5TH ST
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Nurse Practitioner (Family)
100 E 5TH ST
DOUGLAS, AZ 85607
Physician Assistant
100 E 5TH ST
DOUGLAS, AZ 85607
General Practice
100 E 5TH ST
DOUGLAS, AZ 85607

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 Heidi Lodge's NPI number?

The NPI number for Heidi Lodge is 1669426144. It was assigned to this individual provider in the NPPES registry on May 20, 2006. The provider is also known as Heidi Leake.

Where is Heidi Lodge located?

Heidi Lodge practices at 100 E 5th St Ste 350, Douglas, AZ 85607. The listed phone number is (520) 364-7659.

What is Heidi Lodge's specialty?

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

Is Heidi Lodge enrolled in Medicare?

Yes. Heidi Lodge 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 Heidi Lodge accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Heidi Lodge 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 Heidi Lodge was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.