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HEATHER LYNN HARMON MD
NPI 1801880513
Ophthalmology in Louisville, KY

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
87.99/100
CMS Quality Rating
6400 DUTCHMANS PKWY, SUITE 125, LOUISVILLE, KY 40205(502) 896-8700(502) 896-0813 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Lynn Harmon Md NPPES

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

HEATHER LYNN HARMON MD (NPI 1801880513) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Kentucky (33005) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1996).

NPPES Registry Identity

NPI1801880513
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHEATHER LYNN HARMONCredential: MD
Location Address6400 DUTCHMANS PKWY, SUITE 125Louisville, KY 40205-3340
Mailing Address6400 Dutchmans Pkwy, Suite 125Louisville, KY 40205-3340 · (502) 896-8700 · Fax (502) 896-0813
Phone(502) 896-8700
Fax(502) 896-0813
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1996
Enumeration DateSeptember 8, 2005
Last NPPES UpdateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
✔ NPI 1801880513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 33005
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6400 DUTCHMANS PKWY, Louisville, KY 40205
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Other Identifiers 2

Other000000077685KY · Anthem Blue Cross Blue Sh
Medicaid64009871KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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 and accepts Medicare assignment

Heather Lynn Harmon 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 ID244373504
PECOS Enrollment IDI20100209000194
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
1,731 services1,469 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
314 services285 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
220 services211 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
219 services185 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
200 services126 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
199 services117 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

87.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.42
Improvement Activities40
Cost60.76

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.

DR. RAMSEY NASRI NASSAR MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. THOMAS MATTHEW GABRIEL M.D.
Orthopaedic Surgery (Hand Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. SHARI ROSENBERG GABRIEL M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
6400 DUTCHMANS PKWY, STE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. KAREN MARIE ERBECK MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. KEITH WELLINGTON MYRICK D.P.M.
Podiatrist (Foot & Ankle Surgery)
6400 DUTCHMANS PKWY, SUITE 215
LOUISVILLE, KY 40205
Jefferson County (502) 721-8288
DR. TARIQ MUHAMMAD M.D.
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
KRISTINA LEIGH DAWSON APRN
Nurse Practitioner (Family)
6400 DUTCHMANS PKWY, SUITE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660
DR. DAVID HILL GOLDSTEIN MD
Internal Medicine (Nephrology)
6400 DUTCHMANS PKWY, STE 250
LOUISVILLE, KY 40205
Jefferson County (502) 587-9660

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 Harmon's NPI number?

The NPI number for Heather Harmon is 1801880513. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Heather Harmon located?

Heather Harmon practices at 6400 Dutchmans Pkwy Suite 125, Louisville, KY 40205. The listed phone number is (502) 896-8700.

What is Heather Harmon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Heather Harmon enrolled in Medicare?

Yes. Heather Harmon 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 Harmon accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Heather Harmon 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 Harmon was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.