ANITA DOROTHY HEART MD
NPI 1720216179
Family Medicine in Stockton, CA

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
34.58/100
CMS Quality Rating
3132 W MARCH LN, SUITE 5, STOCKTON, CA 95219(209) 475-5500(209) 475-5515 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Anita Dorothy Heart Md NPPES

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

ANITA DOROTHY HEART MD (NPI 1720216179) is an individual family medicine provider in Stockton, California, licensed in California (A117596) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1720216179
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANITA DOROTHY HEARTCredential: MD
Location Address3132 W MARCH LN, SUITE 5Stockton, CA 95219-2354
Mailing Address3400 Data Dr, Quality DepartmentRancho Cordova, CA 95670-7956
Fax(209) 475-5515
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 24, 2009
Last NPPES UpdateMay 12, 2017
NPI 1720216179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A117596
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3132 W MARCH LN, Stockton, CA 95219

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

Anita Dorothy Heart 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 ID3375790942
PECOS Enrollment IDI20120904000705
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95219 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

34.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality15.43
Promoting Interoperability0
Improvement Activities20
Cost63.09

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
14 suppliers66 claims179 services$6.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers30 claims35 services$0.89 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
2 suppliers14 claims14 services$68.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$17.36 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$12.62 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.

Family Medicine
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
Nurse Practitioner (Critical Care Medicine)
3132 W MARCH LN
STOCKTON, CA 95219
Hospitalist
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
Pediatrics
3132 W MARCH LN, STE. 5
STOCKTON, CA 95219
Clinic/Center (Multi-Specialty)
3132 W MARCH LN, SUITE 5
STOCKTON, CA 95219
Family Medicine
3132 W MARCH LN, STE. 5
STOCKTON, CA 95219
Internal Medicine
3132 W MARCH LN
STOCKTON, CA 95219
Otolaryngology
3132 W MARCH LN, 2
STOCKTON, CA 95219

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 Anita Heart's NPI number?

The NPI number for Anita Heart is 1720216179. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Anita Heart located?

Anita Heart practices at 3132 W March Ln Suite 5, Stockton, CA 95219. The listed phone number is (209) 475-5500.

What is Anita Heart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anita Heart enrolled in Medicare?

Yes. Anita Heart 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.

When was this NPI record last updated?

The NPPES record for Anita Heart was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.