Gerrit W Heetderks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

279852 Issued in NY

Practice address

4435 Seneca Rd
Trumansburg, NY 14886-9201

Phone

(607) 387-5707

Fax

(607) 387-4354

NPI assigned

Apr 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trumansburg Medicine PLLCGroup PAC ID 5395846794, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VNS Ithaca Tompkins Co Chha Home health agency, Ithaca, NY, CCN 337212
• Hospicare & Palliative Care Services Hospice, Ithaca, NY, CCN 331512
• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

82.87

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gheetderks@hiemail.healtheconnections.org

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.

• Trumansburg Medicine PLLC

  • Family Medicine Physician
  • Trumansburg, NY
  • NPI 1528056942
  Medicare reassignment Care Compare group NPD

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

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Hospicare and Palliative Care Services of Tompkins County, Inc.

  • Community Based Hospice Care Agency
  • Ithaca, NY
  • NPI 1730185737
  Care Compare affiliation
• Visiting Nurse Service of Ithaca and Tompkins County Inc

  • Home Health Agency
  • Ithaca, NY
  • NPI 1447257928
  Care Compare affiliation

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1740546746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707",
            "fax_number": "607-387-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707",
            "fax_number": "607-387-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETDERKS",
        "first_name": "GERRIT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "279852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather C Forsythe
• Mariana Gallegos, PHARMD
• Lisa I Glasner, MS., CCC-SLP
• Annalee Margaret Griffen, LMSW
• Shern Hart, M.D.
• Neil F. Henninger, O.D.
• Andrea Louise Isacks, LCSW-R
• Bryan L Isacks Jr., M.S., L.AC.
• Ithaca Alpha House Center, Inc.
• Alison D James, OTR

• Family Medicine Physician in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.