JERRY D JR. HEADDY (MD) – Family Medicine Physician, NPI 1689679664
Family Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
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Provider Addresses for JERRY D JR. HEADDY (MD)
Premier Healthcare Same Day Appointment / Walk In Clinic, 550, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474033239
Phone: (812) 355-3299
Fax: (812) 355-3290
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $51.
Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.
Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Exact Sciences Corporation ($35).
Total Amount
$51
General + Research + Ownership
Payments
3
Total payment records
General Amount
$51
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $35 |
| Inspire Medical Systems, Inc. | $16 |
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: 2010-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20100222000814 | I | Family Practice | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 726 | 479 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 286 | 220 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 122 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 136 | 35 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 123 | 26 | $0 |
Insurance plans in this area (ZIP 47403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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