DR. ERIC VAUGHN HEATWOLE (MD) – Diagnostic Radiology Physician, NPI 1053382234
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. ERIC VAUGHN HEATWOLE (MD)
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 468189701
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Location
1100 Reid Pkwy
Richmond, IN 473741157
Phone: (765) 935-8895
Type: Location
PO BOX 80070
FORT WAYNE, IN 468980070
Phone: (260) 432-1568
Fax: (260) 432-4969
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Boston Scientific Corporation ($112).
Total Amount
$202
General + Research + Ownership
Payments
2
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $112 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090402000606 | I | Diagnostic Radiology | MI | TBD |
| I20090928000270 | I | Diagnostic Radiology | IN | TBD |
| I20131017000961 | I | Diagnostic Radiology | OH | TBD |
| I20250211000334 | I | Diagnostic Radiology | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 1,149 | 1,149 | $0 |
| 71045 | X-ray of chest, 1 view | 546 | 514 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 418 | 413 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 364 | 360 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 312 | 312 | $0 |
Insurance plans in this area (ZIP 46818)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Physician Assistant | IN | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN |
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