Individual provider Active NPI

Lismore Burton Heron, MD

  • Cardiovascular Disease Physician
  • Stuart, FL
National Provider Identifier
1326047432
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0082280 Issued in FL
Practice address
1027 SE Ocean Blvd
Stuart, FL 34996-2576
Phone
(772) 781-0222
Fax
(772) 781-0008
NPI assigned
Jul 20, 2005
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0082280 FL Primary

Addresses

Primary practice location

1027 SE Ocean Blvd
Stuart, FL 34996-2576

Mailing address

1027 SE Ocean Blvd
Stuart, FL 34996-2576
Phone (772) 781-0222

Other identifiers 2

IdentifierTypeStateIssuer
261960100MedicaidFL
ME082280OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050914000126 FL Practitioner - Cardiovascular Disease (Cardiology) 6800828005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Cardiology Group LLCGroup PAC ID 7113959313, 43 clinicians

Practice addresses (Care Compare)

1027 SE Ocean Blvd
Stuart, FL 34996-2576
Phone (772) 286-9400

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.68 of 100Reported as group
Quality
60.2
Promoting interoperability
99
Improvement activities
40
Cost
75.2

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
88.17
Promoting interoperability
100
Improvement activities
40
Cost
78.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0082280FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jul 1, 2001 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jul 1, 2001 Accepting new patients
Stuart Cardiology Group LLC Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Coastal Care Corporation Past Accepting new patients

Locations

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

11380 SW Village Pkwy
Ste 300
Port St Lucie, FL 34987

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

561 NW Lake Whitney Pl
Ste 103
Port St Lucie, FL 34986
Phone (772) 781-0222

1001 SE Monterey Commons Blvd
Ste 300
Stuart, FL 34996
Phone (561) 286-9400

1027 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 781-0222

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

314 SE Hospital Ave
Stuart, FL 34994
Phone (772) 221-2006

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lismore.heron.p1@direct.scg.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1326047432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962576",
            "telephone_number": "772-781-0222",
            "fax_number": "772-781-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962576",
            "telephone_number": "772-781-0222",
            "fax_number": "772-781-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERON",
        "first_name": "LISMORE",
        "middle_name": "BURTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0082280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261960100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME082280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.