✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

JESSE WAYNE HEARD, M.D. (NPI #1609111749)

Family Medicine • AUGUSTA, KY • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1609111749
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
1551 AUGUSTA CHATHAM RD, AUGUSTA, KY, 41002-9224
✓ 9-Digit EDI 837 ZIP+4 (41002-9224)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1609111749 (JESSE WAYNE HEARD, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
No
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
No
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1609111749)

Medicare Beneficiaries
32
Total Billed Services
48
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$1,021.07

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Acetaminophen-Codeine
Acetaminophen With Codeine
3420
Acyclovir
Acyclovir
13<11
Albuterol Sulfate Hfa
Albuterol Sulfate
5824
Allopurinol
Allopurinol
28<11
Alprazolam
Alprazolam
4412
Amitriptyline Hcl
Amitriptyline Hcl
20<11
Amlodipine Besylate
Amlodipine Besylate
10431
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
2117

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1609111749 (NPI-1 Individual Practitioner)
Provider / Legal NameJESSE WAYNE HEARD, M.D.
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address1551 AUGUSTA CHATHAM RD, AUGUSTA, KY, 41002-9224
Practice Telephone / FaxTel: (606) 756-2117
Administrative Mailing Address1551 AUGUSTA CHATHAM RD, AUGUSTA, KY, 41002-9224
Enumeration & Last SyncEnumerated: 2012-11-30 | CMS Record Updated: 2023-04-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1551 AUGUSTA CHATHAM RD, AUGUSTA, KY, 41002-9224

🗺️ Open in Google Maps 🏥 More Providers in AUGUSTA

Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JESSE WAYNE HEARD, M.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: KY | License: 57417 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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