DR. KATHARINE W HEATWOLE MD
NPI 1740256387
Psychiatry & Neurology - Neurology in Virginia Beach, VA

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
81.85/100
CMS Quality Rating
596 LYNNHAVEN PKWY STE 100, VIRGINIA BEACH, VA 23452(757) 802-4500(757) 226-9002 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Katharine W Heatwole Md NPPES

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

DR. KATHARINE W HEATWOLE MD (NPI 1740256387) is an individual neurology provider in Virginia Beach, Virginia, licensed in Virginia (0101046383) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (1987).

NPPES Registry Identity

NPI1740256387
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. KATHARINE W HEATWOLECredential: MD
Location Address596 LYNNHAVEN PKWY STE 100Virginia Beach, VA 23452-7371
Mailing Address596 Lynnhaven Pkwy Ste 100Virginia Beach, VA 23452-7371 · (757) 802-4500 · Fax (757) 226-9002
Fax(757) 226-9002
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1987
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1740256387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in VA · 0101046383
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

596 LYNNHAVEN PKWY STE 100, Virginia Beach, VA 23452

Other Identifiers 1

Medicaid010111862VA

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

Dr. Katharine W Heatwole 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 ID6608833108
PECOS Enrollment IDI20041216000394
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 2024 & 2026 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, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services40 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
18 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

81.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.22
Improvement Activities40
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
71%728 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%366 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
2%607 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 16% · 293 patients
14%293 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Neurology)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Family)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Psychiatry & Neurology (Psychiatry)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Psychiatric/Mental Health)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Family)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Psychiatry & Neurology (Psychiatry)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452
Psychologist (Clinical)
596 LYNNHAVEN PKWY STE 100
VIRGINIA BEACH, VA 23452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740256387, enumerated as an "individual" on February 24, 2006.

The provider is located at 596 LYNNHAVEN PKWY STE 100 VIRGINIA BEACH, VA 23452 and the phone number is (757) 802-4500.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.