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MEGAN HERON PA
NPI 1871919357
Physician Assistant in Raleigh, NC

Active since March 08, 2014PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3100 DURALEIGH RD, SUITE 100, RALEIGH, NC 27612(919) 788-8797(919) 313-1276 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Megan Heron Pa NPPES

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

MEGAN HERON PA (NPI 1871919357) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-04885) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871919357
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN HERONCredential: PA
Location Address3100 DURALEIGH RD, SUITE 100Raleigh, NC 27612-8106
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 313-1276
Phone(919) 788-8797
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 8, 2014
Last NPPES UpdateAugust 27, 2015
✔ NPI 1871919357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-04885
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3100 DURALEIGH RD, Raleigh, NC 27612
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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

Megan Heron Pa 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 ID4385960681
PECOS Enrollment IDI20220302002085
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

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.

Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

MR. DOUGLAS JOSEPH HOLCZER PT
Physical Therapist
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 788-8797
SOUTHEASTERN IMAGING CONSULTANTS, LLC
Radiology (Body Imaging)
3100 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Wake County (919) 785-9091
GRETCHEN RUTH CORRELL OT
Occupational Therapist (Hand)
3100 DURALEIGH RD, SUITE
RALEIGH, NC 27612
Wake County (919) 788-8797
MEREDITH BOYETTE
Audiologist
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 876-4327
NOVANT MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
3100 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 232-0050
THOMAS JOHN SENA MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
RICHARD RYAN GESSNER MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
MRS. MAUREEN ANN FONTANES RN
Registered Nurse
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 571-6465

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 Megan Heron's NPI number?

The NPI number for Megan Heron is 1871919357. It was assigned to this individual provider in the NPPES registry on March 8, 2014.

Where is Megan Heron located?

Megan Heron practices at 3100 Duraleigh Rd Suite 100, Raleigh, NC 27612. The listed phone number is (919) 788-8797.

What is Megan Heron's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Heron enrolled in Medicare?

Yes. Megan Heron 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.

Is Megan Heron affiliated with any hospitals?

According to CMS data, Megan Heron is affiliated with Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Megan Heron was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.