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

Q: 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.

Q: What is James Heron's specialty?

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

Q: 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.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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 6

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

DR. CYNTHIA K LACK MD

Family Medicine