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DR. JAMES JOHN HERON M.D.
NPI 1942364609
Family Medicine - Adult Medicine in Marquette, MI

Active since December 20, 2006PECOS Enrolled
425 FISHER ST, MARQUETTE, MI 49855(906) 226-3576(906) 226-9533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James John Heron M.d. NPPES

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

DR. JAMES JOHN HERON M.D. (NPI 1942364609) is an individual adult medicine provider in Marquette, Michigan, licensed in Michigan (4301043907) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942364609
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. JAMES JOHN HERONCredential: M.D.
Location Address425 FISHER STMarquette, MI 49855-4521
Mailing Address449 W Hewitt AveMarquette, MI 49855-3321 · (906) 228-7569
Phone(906) 226-3576
Fax(906) 226-9533
Sole ProprietorYes
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942364609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MI · 4301043907
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
425 FISHER ST, Marquette, MI 49855
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Other Identifiers 3

Medicaid4509057MI
Medicare UPINA79047MI
Medicare ID-Type UnspecifiedE26015003MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James John Heron M.d. 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 Reassignment

Medicare enrollment records show James Heron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dlp Marquette Physician Practices Inc
0.4 mi
Surgery
107 W MAIN ST
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group
NPI 1861748568 (906) 225-7188

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 49855 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 7

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

DR. CYNTHIA K LACK MD
Family Medicine
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-4618
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Nursing Facility/Intermediate Care Facility
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
MR. BRADLEY GLENN HARVALA PHARMD.
Pharmacist
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
STATE OF MICHIGAN
Skilled Nursing Facility
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
TODD MILLER JR. PA-C
Physician Assistant
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
MR. ROBERT LEON FLATT R.PH.
Pharmacist
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576
STATE OF MICHIGAN
Pharmacy (Long Term Care Pharmacy)
425 FISHER ST
MARQUETTE, MI 49855
Marquette County (906) 226-3576

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 James Heron's NPI number?

The NPI number for James Heron is 1942364609. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is James Heron located?

James Heron practices at 425 Fisher St, Marquette, MI 49855. The listed phone number is (906) 226-3576.

What is James Heron's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is James Heron enrolled in Medicare?

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

Which organization bills Medicare for James Heron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Heron reassigns Medicare benefits to Dlp Marquette Physician Practices Inc (Marquette, MI). The 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 James Heron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Heron was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.