HEATHER JOY LACLAIR D.O.
NPI 1750516191
Hospitalist in Muskegon, MI

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
94.5/100
CMS Quality Rating
1500 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-3883(231) 672-3973 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2022, Sep 27, 2019, Apr 26, 2017 (3 updates tracked since 2017).

About Heather Joy Laclair D.o. NPPES

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

HEATHER JOY LACLAIR D.O. (NPI 1750516191) is an individual hospitalist provider in Muskegon, Michigan, licensed in Michigan (5101018145) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Michigan State University College Of Human Medicine (2009).

NPPES Registry Identity

NPI1750516191
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHEATHER JOY LACLAIRCredential: D.O.
Location Address1500 E SHERMAN BLVDMuskegon, MI 49444-1849
Mailing Address1560 E Sherman Blvd Ste 240Muskegon, MI 49444-1854 · (231) 672-3883 · Fax (231) 672-3973
Fax(231) 672-3973
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2009
Enumeration DateMay 28, 2009
Last NPPES UpdateApril 23, 20223 updates tracked since enumeration
NPPES CertifiedApril 23, 2022
NPI 1750516191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MI · 5101018145
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101018145 (MI)
1500 E SHERMAN BLVD, Muskegon, MI 49444

Other Names 1

Former Name (1)Heather Joy Jacobson

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

Heather Joy Laclair D.o. 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 ID6406007236
PECOS Enrollment IDI20121103000111
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 5

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Improvement Activities20
Cost81.3

Other Providers at the Same Location NPPES 20

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

Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Internal Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Student in an Organized Health Care Education/Training Program
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Emergency Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Laclair's NPI number?

The NPI number for Heather Laclair is 1750516191. It was assigned to this individual provider in the NPPES registry on May 28, 2009. The provider is also known as Heather Joy Jacobson.

Where is Heather Laclair located?

Heather Laclair practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 672-3883.

What is Heather Laclair's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Heather Laclair enrolled in Medicare?

Yes. Heather Laclair 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 Laclair accept?

Health plans from Oscar Insurance Company and Priority Health list Heather Laclair 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 Laclair affiliated with any hospitals?

According to CMS data, Heather Laclair is affiliated with Trinity Health Muskegon Hospital and Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for Heather Laclair was last updated on April 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.