EMILY NICOLE HERONEMUS (DO) – Sports Medicine (Family Medicine) Physician, NPI 1043624349
Sports Medicine (Family Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
97 SPORTS MEDICINE in KS
Provider Addresses for EMILY NICOLE HERONEMUS (DO)
6265 ROCK CHALK DR
SUITE 1500
LAWRENCE, KS 66049
Phone: (785) 843-9125
Type: Mailing
325 MAINE STREET
MSO LIBRARY
LAWRENCE, KS 60444
Phone: (785) 843-9125
Fax: (785) 505-5312
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-09-13
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 |
|---|---|---|---|---|
| I20180913000755 | I | Sports Medicine | KS | 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 |
|---|---|---|---|---|
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 15,301 | 141 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 152 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 248 | 142 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 165 | 109 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
Insurance plans in this area (ZIP 66049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Family Practice | KS | |
| H O S P I T A L I S T | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Family Practice | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Internal Medicine, Hospitalist | MT | |
| Rheumatology, Internal Medicine | KS |
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