DR. HEATHER CAROLYN WILLIAMSON (DO) – Family Medicine Physician, NPI 1700880358

DR. HEATHER CAROLYN WILLIAMSON (DO) is a healthcare provider. based in Saint louis, Missouri. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 2001026591 (MO). The NPI Number for DR. HEATHER CAROLYN WILLIAMSON (DO) is 1700880358

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER CAROLYN WILLIAMSON (DO)
NPI
1700880358
Phone
(636) 379-4140
Address
670 MASON RIDGE CENTER DR
Enumeration Date
10 June 2005
Last Update Date
13 March 2013

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6363794329
Graduation Year
2000 (26 years ago)
PAC ID
8628977584
Group Practice PAC ID
1658276811
Professional Enrollment ID
I20040108000806
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. HEATHER CAROLYN WILLIAMSON (DO)

  • 670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States

    STE 300

    SAINT LOUIS, MO 631418573

    Phone: (636) 379-4140

    Fax: (636) 379-4132

    Type: Mailing

  • 3449 PHEASANT MEADOW DR

    STE 107

    O FALLON, MO 633687364

    Phone: (636) 379-4140

    Fax: (636) 379-4132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$111

General + Research + Ownership

Payments

6

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-01-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040108000806IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658276811View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineMO
-MO
-MO
-MO
Emergency MedicineMO
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineMO
Emergency MedicineMO
Allergy/Immunology, Internal MedicineMO
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up DR. HEATHER CAROLYN WILLIAMSON (DO) by NPI?
Use NPI 1700880358 when you need to reference DR. HEATHER CAROLYN WILLIAMSON (DO) in forms, claims, or directories.
Does this profile mean DR. HEATHER CAROLYN WILLIAMSON (DO) is currently active?
Yes — DR. HEATHER CAROLYN WILLIAMSON (DO) appears active in the national provider directory.
What does DR. HEATHER CAROLYN WILLIAMSON (DO) treat or focus on?
Patients typically see DR. HEATHER CAROLYN WILLIAMSON (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. HEATHER CAROLYN WILLIAMSON (DO)?
We surface Saint Louis, Missouri for DR. HEATHER CAROLYN WILLIAMSON (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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