Active NPI 1295719870 Individual Practitioner Male Practitioner

Dr. Franklin O. Heredia , MD

Internal Medicine • Irving, TX

Professional Overview & Biography Verified Profile Summary

Dr. Franklin Heredia, MD is a registered healthcare professional specializing in Internal Medicine in Irving, TX. Practice services are available at 4545 FULLER DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4545 Fuller Drive
Suite 325

Irving, TX 750386521

Telephone 9728705511

Fax 9728705512

Associated Practice Facility / Clinic

🏢 Vpa Of Texas Pllc Facility NPI 1679510499

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Irving, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 24.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

102 Specialists

Practicing in Irving, TX (9538 Statewide)

Telehealth Adoption Rate

25.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	356	107	$115.00	$74.95
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	221	89	$191.00	$124.35
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	105	35	$62.00	$41.40
90661 Influenza vaccine, trivalent derived from cell cultures	45	45	$55.00	$36.11
G0008 Administration of influenza virus vaccine	45	45	$35.00	$32.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	43	43	$196.00	$127.64
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	28	19	$158.00	$102.73
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	26	16	$94.00	$61.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$80.00	$52.79
99344 New patient home visit, typically 1 hour	21	21	$213.00	$139.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	447	167	$192.00	$126.12
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	217	112	$114.00	$75.42
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	127	39	$62.00	$41.34
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	51	28	$94.00	$62.15
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	50	50	$48.00	$33.49
G0008 Administration of influenza virus vaccine	50	50	$35.00	$30.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$194.00	$128.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$78.00	$52.23
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	25	16	$156.00	$103.33
99344 New patient home visit, typically 1 hour	12	12	$216.00	$142.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	474	125	$193.00	$127.46
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	206	65	$62.00	$41.49
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	145	75	$126.00	$82.72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	129	48	$65.00	$63.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$175.00	$132.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	46	$81.00	$53.61
G0008 Administration of influenza virus vaccine	52	52	$35.00	$29.93
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	52	52	$42.00	$31.60
99344 New patient home visit, typically 1 hour	25	25	$274.00	$179.07
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	21	14	$163.00	$105.75
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	15	11	$83.00	$55.11
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$26.00	$14.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	657	138	$193.00	$129.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	276	89	$62.00	$41.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	209	70	$65.00	$41.51
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	125	69	$126.00	$84.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$175.00	$134.74
G0008 Administration of influenza virus vaccine	64	63	$35.00	$17.36
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	64	63	$42.00	$29.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	50	$81.00	$53.87
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	51	34	$163.00	$107.17
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	29	22	$83.00	$55.26
81002 Urinalysis, manual test	20	19	$5.00	$3.48
99344 New patient home visit, typically 1 hour	19	19	$274.00	$181.46
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	18	16	$267.00	$179.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	961	162	$193.00	$132.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	320	88	$62.00	$41.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	231	64	$65.00	$42.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	97	97	$175.00	$119.07
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	84	84	$42.00	$29.23
G0008 Administration of influenza virus vaccine	82	82	$35.00	$17.06
99442 Telephone medical discussion with physician, 11-20 minutes	81	69	$110.00	$75.68
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	74	59	$267.00	$183.44
81002 Urinalysis, manual test	63	61	$5.00	$3.46
99443 Telephone medical discussion with physician, 21-30 minutes	54	46	$162.00	$110.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	44	$81.00	$54.55
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$26.00	$17.48
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	38	30	$163.00	$109.92
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	36	24	$126.00	$85.89
99344 New patient home visit, typically 1 hour	17	17	$274.00	$187.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,033	187	$193.00	$130.74
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	370	116	$62.00	$41.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	369	103	$65.00	$42.08
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	125	81	$267.00	$181.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$175.00	$117.89
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	95	57	$163.00	$109.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	93	83	$81.00	$54.04
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	73	73	$42.00	$27.57
G0008 Administration of influenza virus vaccine	73	73	$35.00	$16.73
81002 Urinalysis, manual test	64	61	$5.00	$3.41
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	52	30	$126.00	$85.10
93000 Routine ekg using at least 12 leads including interpretation and report	47	46	$26.00	$17.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$260.00	$174.10
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	18	18	$332.00	$224.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,084	263	$193.00	$129.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	733	171	$65.00	$42.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	457	156	$62.00	$42.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$175.00	$117.31
81002 Urinalysis, manual test	117	112	$5.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	107	106	$26.00	$17.05
G0008 Administration of influenza virus vaccine	106	106	$35.00	$20.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	105	94	$81.00	$54.12
90756 Vaccine for influenza for injection into muscle	104	104	$34.00	$22.33
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	92	74	$267.00	$179.27
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	32	28	$126.00	$84.43
99344 New patient home visit, typically 1 hour	25	25	$274.00	$184.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$260.00	$172.66
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	16	16	$332.00	$222.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	1,148	263	$193.00	$126.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	664	189	$65.00	$42.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	521	160	$62.00	$41.61
81002 Urinalysis, manual test	162	125	$5.00	$3.43
93000 Routine ekg using at least 12 leads including interpretation and report	144	140	$26.00	$16.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$175.00	$112.68
G0008 Administration of influenza virus vaccine	105	105	$35.00	$25.53
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	104	104	$29.00	$23.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	87	83	$81.00	$53.97
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	80	64	$267.00	$174.53
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	47	44	$126.00	$83.32
99344 New patient home visit, typically 1 hour	41	41	$274.00	$182.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$260.00	$170.96
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	15	15	$332.00	$221.65
G0009 Administration of pneumococcal vaccine	13	13	$36.00	$25.43
G0372 Physician service required to establish and document the need for a power mobility device	12	11	$13.00	$8.58

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX K4081

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

106257218 (TX)

Medicaid State Provider ID

106257215 (TX)

Medicaid State Provider ID

106257222 (TX)

Medicaid State Provider ID

106257209 (TX)

Medicaid State Provider ID

106257204 (TX)

Medicaid State Provider ID

106257205 (TX)

Medicaid State Provider ID

106257219 (TX)

Medicaid State Provider ID

106257213 (TX)

Medicaid State Provider ID

106257207 (TX)

Medicaid State Provider ID

106257221 (TX)

Practice Associates & Co-Workers

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

31 Associated Practitioners

Adam Brock , FNP

Nurse Practitioner - Family

NPI 1033648837

Family Nurse Practitioner

Santa Sisay

Nurse Practitioner - Family

NPI 1033857073

Cierra Thomas , RN, MSN, AGNP

Nurse Practitioner

NPI 1043730971

Registered Nurse, Master of Science in Nursing, Adult-Gerontology Nurse Practitioner

Dr. Bekele Olbamo , MD

Family Medicine

NPI 1053554360

Doctor of Medicine (M.D.)

Anchalee Garcia

Nurse Practitioner - Family

NPI 1053887695

Deborah Ungles , NP

Nurse Practitioner - Family

NPI 1083935902

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 31, 2013

Registered at 4545 FULLER DRIVE, SUITE 325, IRVING, TX 750386521 (Tel: 9728705511)

📍

Updated Business Mailing Address July 31, 2013

Registered at PO BOX 1239, TROY, MI 480991239 (Tel: 2488246600)

👤

Provider Name / Credentials Updated July 31, 2013

Recorded as FRANKLIN HEREDIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Internal Medicine (License #K4081 in TX)

🟢

Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295719870

Entity Type:

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

Enumeration Date: December 06, 2005

Last Update: July 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1239

Troy, MI 480991239

Phone: 2488246600

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.