DR. ERIC J. HEATHERS M.D.
NPI 1972541126
Family Medicine in Kokomo, IN
NPI Status: Active since June 02, 2006
Contact Information
3508 S LAFOUNTAIN ST
KOKOMO, IN
ZIP 46902
Phone: (765) 864-5704
Fax: (765) 864-5720
- Individual
- Male
- Family Medicine
- Accepts Insurance
- Medicare Quality Reporting
About ERIC HEATHERS
This page provides the complete NPI Profile along with additional information for Eric Heathers, a primary care provider established in Kokomo, Indiana with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1972541126 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 01044350A (IN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1972541126
- Provider Name
- DR. ERIC J. HEATHERS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3508 S LAFOUNTAIN ST KOKOMO, IN 46902
- Location Phone
- (765) 864-5704
- Location Fax
- (765) 864-5720
- Mailing Address
- 3508 S LAFOUNTAIN ST KOKOMO, IN 46902
- Mailing Phone
- (765) 864-5704
- Mailing Fax
- (765) 864-5720
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2006
- Last Update Date
- 08-06-2019
- Code Navigator
A primary care provider (PCP) like Eric Heathers sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01044350A
- License State
- IN
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 562454401 | OTHER (01) | IN | ADVANTAGE HEALTHCARE |
| 562454401 | OTHER (01) | IN | AARP |
| P00141244 | OTHER (01) | IN | R.R. MEDICARE |
| 562454401 | OTHER (01) | IN | SAGAMORE |
| 562454401 | OTHER (01) | IN | ENCORE |
| 562454401 | OTHER (01) | IN | TRICARE |
| 562454401 | OTHER (01) | IN | UNITED HEALTHCARE |
| 000000342682 | OTHER (01) | IN | BLUE CROSS BLUE SHIELD |
| 562454401 | OTHER (01) | IN | HUMANA |
| 562454401 | OTHER (01) | IN | SUBURBAN HEALTH |
| 562454401 | OTHER (01) | IN | M PLAN |
| 562454401 | OTHER (01) | IN | CIGNA |
| 562454401 | OTHER (01) | IN | WASAU |
| 562454401 | OTHER (01) | IN | AETNA |
| 200062130A | MEDICAID (05) | IN |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes screening | Yes | N/A |
| Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication. | ||
| Provide Education Opportunities for New Clinicians | Yes | N/A |
| MIPS eligible clinicians acting as a preceptor for clinicians-in-training (such as medical residents/fellows, medical students, physician assistants, nurse practitioners, or clinical nurse specialists) and accepting such clinicians for clinical rotations in community practices in small, underserved, or rural areas. | ||
Reviews for DR. ERIC J. HEATHERS M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972541126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972541126, enumerated as an "individual" on June 02, 2006.
The provider is located at 3508 S LAFOUNTAIN ST KOKOMO, IN 46902 and the phone number is (765) 864-5704.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Tricare, Blue. Please consult your insurance carrier or call the provider to verify.
