HEATHER M FRANKLIN MD
NPI 1770580615
Pediatrics in Bloomington, IN

Active since July 07, 2005PECOS Enrolled
651 S CLARIZZ BLVD, BLOOMINGTON, IN 47401(812) 335-2435(812) 330-2306 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2021, Jan 18, 2021 (2 updates tracked since 2021).

About Heather M Franklin Md NPPES

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

HEATHER M FRANKLIN MD (NPI 1770580615) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01047897A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770580615
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHEATHER M FRANKLINCredential: MD
Location Address651 S CLARIZZ BLVDBloomington, IN 47401-5523
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(812) 330-2306
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1770580615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01047897A✔ Licensed in IN · 01047897
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
651 S CLARIZZ BLVD, Bloomington, IN 47401

Other Identifiers 1

Medicaid200220340IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather M Franklin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Franklin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47401 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 6

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

Pediatrics
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401
Registered Nurse
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401
Nurse Practitioner (Pediatrics)
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401
Nurse Practitioner (Pediatrics)
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401
Pediatrics
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401
Pediatrics
651 S CLARIZZ BLVD
BLOOMINGTON, IN 47401

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 Franklin's NPI number?

The NPI number for Heather Franklin is 1770580615. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Heather Franklin located?

Heather Franklin practices at 651 S Clarizz Blvd, Bloomington, IN 47401. The listed phone number is (812) 335-2435.

What is Heather Franklin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heather Franklin enrolled in Medicare?

Yes. Heather Franklin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Franklin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Franklin reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Franklin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Heather Franklin 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 Heather Franklin was last updated on November 9, 2021. 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.