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YELIZAVETA LUCHKOVSKA HERON DDS
NPI 1780172379
Dentist - General Practice in South San Francisco, CA

Active since April 29, 2018PECOS Enrolled
1215 MISSION RD, SOUTH SAN FRANCISCO, CA 94080(650) 871-5437 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 10, 2022, Oct 23, 2019 and 2 more (5 updates tracked since 2018).

About Yelizaveta Luchkovska Heron Dds NPPES

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

YELIZAVETA LUCHKOVSKA HERON DDS (NPI 1780172379) is an individual general practice provider in South San Francisco, California, licensed in California (104020) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780172379
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameYELIZAVETA LUCHKOVSKA HERONCredential: DDS
Location Address1215 MISSION RDSouth San Francisco, CA 94080-1397
Mailing Address1215 Mission RdSouth San Francisco, CA 94080-1397 · (831) 325-1815
Phone(650) 871-5437
Sole ProprietorYes
Enumeration DateApril 29, 2018
Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1780172379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 104020
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 MISSION RD, South San Francisco, CA 94080
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Other Names 1

Former Name (1)Yelizaveta Luchkovska Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yelizaveta Luchkovska Heron Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94080 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 4

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

DR. CATHERINE DESIMINI D.M.D
Dentist (Pediatric Dentistry)
1215 MISSION RD
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (543) 765-0871
TSE DENTAL CORPORATION
Dentist (Pediatric Dentistry)
1215 MISSION RD
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 871-5437
DR. LAURA YUSMAN LIM DDS
Dentist
1215 MISSION RD
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 871-5437
DR. KENNETH KAION TSE JR. DDS
Dentist (Pediatric Dentistry)
1215 MISSION RD
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 871-5437

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 Yelizaveta Heron's NPI number?

The NPI number for Yelizaveta Heron is 1780172379. It was assigned to this individual provider in the NPPES registry on April 29, 2018. The provider is also known as Yelizaveta Luchkovska Dds.

Where is Yelizaveta Heron located?

Yelizaveta Heron practices at 1215 Mission Rd, South San Francisco, CA 94080. The listed phone number is (650) 871-5437.

What is Yelizaveta Heron's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Yelizaveta Heron enrolled in Medicare?

Yes. Yelizaveta Heron is registered in the Medicare PECOS enrollment system.

What insurance does Yelizaveta Heron accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Yelizaveta Heron 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 Yelizaveta Heron was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.