Individual provider Active NPI

Dustin Michael Heringer, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1124074190
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36057 Issued in AZ
Practice address
4201 E Babbling Brook Dr
Tucson, AZ 85712-6638
Phone
(701) 426-6422
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36057 AZ Primary
Ophthalmology Physician 207W00000X MD26123 OR

Addresses

Primary practice location

4201 E Babbling Brook Dr
Tucson, AZ 85712-6638

Mailing address

4201 E Babbling Brook Dr
Tucson, AZ 85712-6638
Phone (701) 426-6422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000507 AZ Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3476566084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of North Dakota School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16150 N Arrowhead Fountains Ctr Dr
Suite 150
Peoria, AZ 85382-4751
Phone (480) 949-5990

8415 N Pima Rd
Suite 100
Scottsdale, AZ 85258-4481
Phone (480) 949-5990

Hospital & facility affiliations

  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD26123ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Ocular and Facial Plastic Surgery, PLLC Ophthalmology CurrentSince Jan 1, 2014 Accepting new patients
Scottsdale Eye Surgery Center, P.C PastSince Oct 1, 2020 Accepting new patients
Associated Ophthalmologist, LTD Ophthalmology Past Accepting new patients

Locations

16150 N Arrowhead Fountains Ctr Dr
Ste 150
Peoria, AZ 85382
Phone (480) 949-5990

8415 N Pima Rd
Ste 100
Scottsdale, AZ 85258
Phone (480) 661-4761

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373673600000",
    "number": "1124074190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 E BABBLING BROOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126638",
            "telephone_number": "701-426-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E BABBLING BROOK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126638",
            "telephone_number": "701-426-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERINGER",
        "first_name": "DUSTIN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "36057",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD26123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.