Active NPI 1659605848 Individual Practitioner Female Practitioner

Dr. Alisha M Heaton , OD

Optometrist • Post Falls, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alisha Heaton, OD is a certified Optometrist practicing in Post Falls, ID. With approximately 17 years of clinical experience since graduating from Pacific University - College Of Optometry in 2009, Dr. Heaton delivers high-quality medical care to the local community at 1901 E SELTICE WAY.

Dr. Heaton is affiliated with North Idaho Eye Institute P A and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1901 E Seltice Way

Post Falls, ID 838549647

Telephone 2086672531

Fax 2087659385

Associated Practice Facility / Clinic

🏢 North Idaho Cataract & Laser Ctr Facility NPI 1518003516

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Post Falls, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs Matches City Avg

City Avg: 17.0 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Post Falls, ID (385 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heaton (17 Years) 17 Yrs

Post Falls Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	600	354	$175.30	$81.79
92014 Established patient complete exam of visual system	443	420	$238.00	$115.92
92134 Imaging of retina	202	173	$78.00	$37.04
92004 New patient complete exam of visual system	175	175	$287.00	$137.83
83516 Analysis of substance using immunoassay technique	153	77	$35.00	$11.30
92133 Imaging of optic nerve	96	79	$75.00	$33.33
92002 New patient problem focused exam of visual system	32	32	$173.00	$76.46
92083 Exam of visual field with extended testing	26	24	$130.00	$57.89
92132 Imaging of front third of eye	16	16	$60.00	$27.00
67820 Removal of eyelashes using forceps	13	12	$146.46	$20.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	173	148	$91.54	$37.31
92014 Established patient complete exam of visual system	159	156	$238.31	$118.27
92012 Established patient problem focused exam of visual system	142	96	$162.95	$83.12
92004 New patient complete exam of visual system	141	141	$287.00	$140.02
99213 Established patient office or other outpatient visit, typically 15 minutes	119	86	$149.41	$84.83
92133 Imaging of optic nerve	86	75	$89.23	$33.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	82	$220.85	$120.93
92285 Photography of content of eyes	56	56	$61.00	$21.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$333.82	$155.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	127	$150.98	$85.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	168	$221.59	$122.34
92134 Imaging of retina	167	132	$110.03	$37.99
92285 Photography of content of eyes	116	114	$60.71	$21.56
83516 Analysis of substance using immunoassay technique	79	37	$143.70	$11.35
92133 Imaging of optic nerve	76	57	$108.70	$34.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$333.82	$161.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$220.04	$108.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	320	230	$258.56	$121.08
92134 Imaging of retina	240	174	$84.02	$38.48
92012 Established patient problem focused exam of visual system	201	118	$180.40	$85.17
92133 Imaging of optic nerve	103	75	$76.04	$35.07
92285 Photography of content of eyes	92	92	$44.26	$21.43
92004 New patient complete exam of visual system	48	48	$308.44	$144.70
83516 Analysis of substance using immunoassay technique	38	18	$143.70	$11.53
65205 Removal of foreign body in external eye, conjunctiva	24	12	$185.73	$41.80
92002 New patient problem focused exam of visual system	13	13	$171.78	$82.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	298	215	$258.56	$120.82
92134 Imaging of retina	249	170	$84.02	$38.61
92012 Established patient problem focused exam of visual system	179	106	$180.40	$85.29
92285 Photography of content of eyes	88	88	$44.26	$20.64
92133 Imaging of optic nerve	76	50	$76.04	$35.35
83516 Analysis of substance using immunoassay technique	53	21	$143.70	$11.53
92004 New patient complete exam of visual system	48	48	$308.44	$146.83
83861 Microfluid analysis of tears	26	13	$60.00	$22.41
65205 Removal of foreign body in external eye, conjunctiva	20	12	$189.68	$54.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	286	232	$258.56	$119.96
92134 Imaging of retina	265	203	$84.02	$38.62
92012 Established patient problem focused exam of visual system	230	133	$180.40	$83.29
92133 Imaging of optic nerve	115	80	$76.04	$34.84
92004 New patient complete exam of visual system	75	75	$308.44	$143.58
92285 Photography of content of eyes	61	61	$44.26	$20.47
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$150.98	$69.59
65205 Removal of foreign body in external eye, conjunctiva	42	16	$189.68	$65.41
83861 Microfluid analysis of tears	42	21	$60.00	$22.03
83516 Analysis of substance using immunoassay technique	38	19	$143.70	$12.55
92250 Photography of the retina	26	21	$103.74	$46.97
92083 Exam of visual field with extended testing	16	15	$131.34	$63.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$221.02	$102.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	73	$179.79	$66.12
92134 Imaging of retina	134	92	$138.00	$38.16
92014 Established patient complete exam of visual system	110	90	$245.00	$115.93
92133 Imaging of optic nerve	71	49	$139.00	$34.31
92004 New patient complete exam of visual system	66	66	$300.00	$139.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$229.00	$99.15
92250 Photography of the retina	34	29	$190.00	$51.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$160.00	$39.28
92285 Photography of content of eyes	15	15	$150.00	$18.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	43	$180.00	$65.92
92134 Imaging of retina	47	36	$138.00	$36.22
92012 Established patient problem focused exam of visual system	43	28	$160.00	$75.33
92133 Imaging of optic nerve	37	26	$139.00	$33.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	28	$227.85	$97.26
92004 New patient complete exam of visual system	34	34	$300.00	$134.98
83861 Microfluid analysis of tears	31	12	$58.45	$22.21
92014 Established patient complete exam of visual system	30	28	$245.00	$111.71
83516 Analysis of substance using immunoassay technique	21	11	$107.57	$14.52

Medical Specialties & State Licenses

CMS Verified: 2024-02-05

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-100199

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MT 809

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1659605848 (ID)

Medicaid State Provider ID

2071233 (WA)

Hospital & Practice Group Affiliations

North Idaho Eye Institute P A

1814 Lincoln Way, Coeur D Alene, ID 838142540

Phone: 2086672531

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. David Dance , MD

Ophthalmology

NPI 1003064577

Doctor of Medicine (M.D.)

Dr. David Wold , MD

Ophthalmology

NPI 1194861278

Doctor of Medicine (M.D.)

Dane Tosland

Optometrist - Corneal and Contact Management

NPI 1245962760

Dr. John Calderwood , OD

Optometrist

NPI 1285624601

Doctor of Optometry

Dr. Sara Duke , MD

Ophthalmology

NPI 1306089065

Doctor of Medicine (M.D.)

Dr. Dale Stormogipson , MD

Ophthalmology

NPI 1336285345

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location February 05, 2024

Registered at 1901 E SELTICE WAY, POST FALLS, ID 838549647 (Tel: 2086672531)

📍

Updated Business Mailing Address December 15, 2021

Registered at 16010 E INDIANA AVE, SPOKANE VALLEY, WA 992161813 (Tel: 5099288040)

👤

Provider Name / Credentials Updated December 15, 2021

Recorded as ALISHA HEATON, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2021

Optometrist (License #809 in MT)

📍

Updated Practice Location August 29, 2019

Registered at 2175 N MAIN ST, COEUR D'ALENE, ID 83814 (Tel: 2086649888)

📍

Updated Business Mailing Address August 29, 2019

Registered at 1414 N HOUK, SUITE 103, SPOKANE VALLEY, WA 99216 (Tel: 5099288040)

✅

NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 24, 2012

Registered at 8445 N GOVERNMENT WAY, HAYDEN, ID 838359280 (Tel: 2087723208)

📍

Updated Business Mailing Address July 24, 2012

Registered at 8445 N GOVERNMENT WAY, HAYDEN, ID 838359280 (Tel: 2087723208)

👤

Provider Name / Credentials Updated July 24, 2012

Recorded as ALISHA HEATON, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2012

Optometrist (License #809 in MT)

🟢

Initial NPI Registration & Enumeration September 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659605848

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 22, 2009

Last Update: February 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16010 E Indiana Ave

Spokane Valley, WA 992161813

Phone: 5099288040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.