Heather Koons, MD
NPI 1942357801 · Neurology Physician · Nashville, TN
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Koons, MD is a Neurology Physician provider in Nashville, TN (NPI 1942357801).
Provider details
- NPI number
- 1942357801
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD0000045648 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
135 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $91 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 42 | $138 |
| Electronic Analysis of Implanted Brain, Spinal Cord, Or Peripheral Neurostimulator Generator With Brain Stimulator Programming, First 15 Minutes With Qualified Health Professional95983 | 23 | $45 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 15 | $63 |
Typical Medicare-allowed amounts for these services range $45–$138 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 197 | 59 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 124 | 35 |
| Clonazepam | 115 | 17 |
| Amantadine Hclbrand: Amantadine | 53 | 17 |
| Gabapentin | 48 | — |
| Rasagiline Mesylate | 37 | 11 |
| Sertraline Hcl | 36 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Frequently asked questions
- What is Heather Koons's NPI number?
- Heather Koons's National Provider Identifier (NPI) is 1942357801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Koons's specialty?
- Heather Koons is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Koons located?
- Heather Koons's practice location on file with NPPES is 3601 the Vanderbilt Clinic, Nashville, TN 37232-0001.
- What is Heather Koons's phone number?
- The practice phone number listed in the NPPES registry for Heather Koons is (615) 322-3000.
- Does Heather Koons accept Medicare?
- Heather Koons is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Koons's NPI active?
- Yes — Heather Koons's NPI (1942357801) is active in the NPPES registry as of the last update on 2022-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.