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DR. HEATHER DIANNE HORTON M.D
NPI 1861754657
Psychiatry & Neurology - Neurology in Columbia, TN

Active since June 08, 2012PECOS EnrolledAccepts Medicare Assignment
1224 TROTWOOD AVE, COLUMBIA, TN 38401(931) 380-4072(931) 490-7043 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Oct 7, 2025, Oct 3, 2024 and 6 more (9 updates tracked since 2016).

About Dr. Heather Dianne Horton M.d NPPES

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

DR. HEATHER DIANNE HORTON M.D (NPI 1861754657) is an individual neurology provider in Columbia, Tennessee, licensed in Indiana (01090409A) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861754657
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HEATHER DIANNE HORTONCredential: M.D
Location Address1224 TROTWOOD AVEColumbia, TN 38401-4802
Mailing Address1224 Trotwood AveColumbia, TN 38401-4802 · (931) 380-4072 · Fax (931) 490-4072
Phone(931) 380-4072
Fax(931) 490-7043
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2012
Enumeration DateJune 8, 2012
Last NPPES UpdateNovember 18, 20259 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1861754657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IN · 01090409A✔ Licensed in NJ · 25MA11285000✔ Licensed in TN · 55097✔ Licensed in GA · 81444✔ Licensed in SC · 85642
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.
1224 TROTWOOD AVE, Columbia, TN 38401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-5035 · Fax (843) 402-5036
Location 22400 17th StColumbus, IN 47201-5351 · Phone (812) 376-5974

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Heather Dianne Horton M.d 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 ID244476901
PECOS Enrollment IDI20170420000289, I20180223001004, I20250107001188
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

18

Medicare enrollment records show Heather Horton reassigns Medicare billing to 18 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maury Regional Medical Group, Inc
0.5 mi
Family Medicine
854 W JAMES CAMPBELL BLVD, SUITE 303
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • 228 clinicians in this Medicare group
NPI 1205886264 (931) 540-4255
Kca, PLLC
24 mi
Specialist
4323 CAROTHERS PKWY, WILLIAMSON MEDICAL CENTER-SUITE 609
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1407025380 (615) 550-1800
Skyline Neuroscience Associates, LLC
47 mi
Neurology
3443 DICKERSON PIKE STE 580
Nashville, TN 37207
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
NPI 1033154786 (615) 860-1351
Lake Cumberland Physician Practices, LLC
148 mi
Family Medicine
72 JOE T PETTY DR
Russell Springs, KY 42642
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • Also billed through NPI 1386999027 (Tennessee)
  • 78 clinicians in this Medicare group
NPI 1164832531 (270) 866-7771
Wellstar Medical Group, LLC
161 mi
Family Medicine
12 MEDICAL DR NE
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1588059653 (770) 386-1000
Gwinnett Physician Group, LLC
207 mi
Internal Medicine
1000 MEDICAL CENTER BLVD, MOB 100 SUITE 210
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 275 clinicians in this Medicare group
NPI 1578574661 (855) 709-4535
Columbus Regional Health Physicians, LLC
252 mi
Family Medicine
103 WILLOW ST, SUITE B
Nashville, IN 47448
  • Reassigned Medicare billing, Indiana enrollment
  • 235 clinicians in this Medicare group
NPI 1114397577 (812) 988-2223
Phoebe Gastroenterology Associates
321 mi
Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1659627131 (229) 312-0669
Roper Saint Francis Physicians Network
392 mi
Hematology & Oncology
595 W CAROLINA AVE
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group
NPI 1740828516 (843) 881-5844
Mcleod Regional Medical Center Of The Pee Dee, Inc
426 mi
Emergency Medical Services
555 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 816 clinicians in this Medicare group
NPI 1154371433 (843) 777-2000

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

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.

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
68 services67 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.
50 services50 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
50 services49 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services11 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

SALLY HORVATH PHARMD
Pharmacist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ELIZABETH FOSTER CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
JORDAN DANA ROSENSTEIN
Physician Assistant
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
BETHANY G SUMMERFORD MD
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
DR. MANISHA RAJ M.D.
Internal Medicine
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 380-4072
KENDRA RENNELL CRNA
Nurse Anesthetist, Certified Registered
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
ANTHONY DONALD HAASE III M.D.
Pediatrics
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 380-4072
MS. JULIE ANN SACCO PT
Physical Therapist
1224 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111

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 Horton's NPI number?

The NPI number for Heather Horton is 1861754657. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Heather Horton located?

Heather Horton practices at 1224 Trotwood Ave, Columbia, TN 38401. The listed phone number is (931) 380-4072.

What is Heather Horton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Heather Horton enrolled in Medicare?

Yes. Heather Horton 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.

Which organizations bill Medicare for Heather Horton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Horton reassigns Medicare benefits to 18 organizations: Maury Regional Medical Group, Inc (Columbia, TN), Kca, PLLC (Franklin, TN), Skyline Neuroscience Associates, LLC (Nashville, TN), Lake Cumberland Physician Practices, LLC (Russell Springs, KY), Wellstar Medical Group, LLC (Cartersville, GA) and 13 more organizations, listed in the Medicare section above. 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 Horton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Horton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare, Highmark Blue Cross Blue Shield West Virginia and Oscar Health Maintenance Organization of Florida and 1 other insurer list Heather Horton 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 Horton affiliated with any hospitals?

According to CMS data, Heather Horton is affiliated with St Joseph Hospital and Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Horton was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.