Grace Mathis Heffner , PA-C
Physician Assistant โข Pinehurst, NC
5 Firstvillage Drive
Pinehurst, NC 28374
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 13, 2011; this date does not establish years in practice.
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Published CMS data list 1,404 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 469 service units.
- 22614 โ Fusion of additional segment of spine: 127 service units.
- 72100 โ X-ray of lower and sacral spine, 2-3 views: 123 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 24 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 627 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 95 prescription fills, including refills.
- Cyclobenzaprine Hcl โ 85 prescription fills, including refills.
- Mupirocin โ 71 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 15 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Pinehurst, NC (2024, 64 clinicians with data). Median for this group: 966. Middle half: 316 to 1,643.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: 246. Middle half: 97 to 632.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,691 in 2020 to 1,404 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
5 Firstvillage Drive
Pinehurst, NC 28374
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Mcpc-9 Llc; Pinehurst Surgical Clinic Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2010
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
299 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $100,453 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $77,088 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
640 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$6,122 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $21.74 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Grace Heffner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Grace Heffner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Pinehurst and North Carolina
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Pinehurst, NC (2024, 64 clinicians with data). Median for this group: 966. Middle half: 316 to 1,643.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: 246. Middle half: 97 to 632.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Pinehurst, NC (2024, 64 clinicians with data). Median for this group: $46,735. Middle half: $20,494 to $81,213.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $18,105. Middle half: $8,009 to $38,173.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Pinehurst, NC (2024, 64 clinicians with data). Median for this group: $36,328. Middle half: $14,484 to $60,332.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $13,261. Middle half: $5,810 to $27,977.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Pinehurst, NC (2024, 67 clinicians with data). Median for this group: 656. Middle half: 306 to 1,680.
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: 330. Middle half: 99 to 1,135.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Pinehurst, NC (2024, 67 clinicians with data). Median for this group: $49,496. Middle half: $3,916 to $314,195.
Close to the middle for clinicians listed under Physician Assistant in North Carolina (2024, 5,277 clinicians with data). Median for this group: $8,985. Middle half: $887 to $130,574.
92 active clinicians are listed under Physician Assistant with a practice address in Pinehurst, NC (9,288 in North Carolina).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pinehurst
12% of these 92 clinicians have the CMS telehealth indicator.
77.2% of these 92 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 48% from 2,691 in 2020 to 1,404 in 2024.
- 2020: 2,691
- 2021: 1,275
- 2022: 1,897
- 2023: 1,793
- 2024: 1,404
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Medicare-allowed amount
Medicare-allowed amount decreased 36% from $157,620 in 2020 to $100,453 in 2024.
- 2020: $157,620
- 2021: $82,216
- 2022: $117,436
- 2023: $115,398
- 2024: $100,453
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Paid by Medicare
Paid by Medicare decreased 37% from $122,963 in 2020 to $77,088 in 2024.
- 2020: $122,963
- 2021: $62,671
- 2022: $90,120
- 2023: $89,019
- 2024: $77,088
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 43% from 440 in 2020 to 627 in 2024.
- 2020: 440
- 2021: 321
- 2022: 573
- 2023: 511
- 2024: 627
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30-day fills
30-day fills increased 43% from 448 in 2020 to 640 in 2024.
- 2020: 448
- 2021: 325
- 2022: 593
- 2023: 521
- 2024: 640
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Part D drug cost
Part D drug cost increased 36% from $4,516 in 2020 to $6,122 in 2024.
- 2020: $4,516
- 2021: $2,352
- 2022: $6,789
- 2023: $6,993
- 2024: $6,122
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $225.32 in 2021 to $21.74 in 2025.
- 2021: $225.32
- 2022: $338.23
- 2023: $979.65
- 2025: $21.74
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $21.74.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| SI-BONE, INC. |
Food and Beverage
Cash or cash equivalent
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โ | General | $21.74 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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469 | 234 | $443.86 | $102.56 |
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22614
Fusion of additional segment of spine
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127 | 41 | $306.91 | $48.06 |
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72100
X-ray of lower and sacral spine, 2-3 views
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123 | 88 | $149.28 | $30.95 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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100 | 97 | $200.32 | $40.82 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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66 | 40 | $185.90 | $31.66 |
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72040
X-ray of upper spine, 2-3 views
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51 | 37 | $150.04 | $29.92 |
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72050
X-ray of upper spine, 4-5 views
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49 | 47 | $188.33 | $42.13 |
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22612
Fusion of spine in lower back
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38 | 38 | $1259.11 | $187.50 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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36 | 36 | $882.45 | $75.03 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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33 | 20 | $190.97 | $25.91 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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29 | 29 | $542.15 | $93.92 |
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22845
Placement of stabilizing device to front, 2-3 spine bone segments
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29 | 29 | $561.89 | $89.36 |
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36415
Insertion of needle into vein for collection of blood sample
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29 | 29 | $25.00 | $8.36 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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29 | 29 | $37.00 | $7.38 |
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72070
X-ray of middle spine, 2 views
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28 | 22 | $130.86 | $25.93 |
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80048
Blood test, basic group of blood chemicals (calcium, total)
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28 | 28 | $46.00 | $8.03 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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23 | 23 | $1211.61 | $136.76 |
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22552
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
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21 | 12 | $272.06 | $48.59 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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21 | 21 | $616.29 | $133.88 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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18 | 17 | $354.56 | $72.89 |
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22551
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
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15 | 15 | $1200.18 | $183.37 |
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22600
Fusion of spine in neck by posterior approach
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15 | 15 | $913.15 | $108.53 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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14 | 14 | $618.18 | $93.15 |
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22843
Placement of stabilizing device to back, 7-12 spine bone segments
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13 | 12 | $657.02 | $100.31 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 95 | 3,116 | $666.28 | 45 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 85 | 1,231 | $268.96 | 72 |
| Mupirocin | Mupirocin | 71 | 917 | $524.04 | 70 |
| Methylprednisolone | Methylprednisolone | 66 | 394 | $359.78 | 65 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 53 | 312 | $455.51 | 50 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 43 | 271 | $286.60 | 42 |
| Tizanidine Hcl | Tizanidine Hcl | 37 | 538 | $159.53 | 32 |
| Methocarbamol | Methocarbamol | 29 | 695 | $105.32 | 21 |
| Tramadol Hcl | Tramadol Hcl | 25 | 142 | $58.22 | 22 |
| Naloxone Hcl | Naloxone Hcl | 25 | 59 | $1,898.27 | 25 |
| Meloxicam | Meloxicam | 22 | 630 | $106.00 | 16 |
| Diazepam | Diazepam | 22 | 29 | $26.35 | 18 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 19 | 138 | $95.79 | 15 |
| Calcitonin-Salmon | Calcitonin,salmon,synthetic | 19 | 570 | $974.55 | 17 |
| Pregabalin | Pregabalin | 16 | 435 | $137.20 | 13 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110223000879
NC
3173704137
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Pinehurst Surgical Clinic Pa
5 1st Village Dr, Pinehurst, NC 283749495
Phone: 9102956831
Mcpc-9 Llc
809 S Long Dr, Rockingham, NC 283794377
Phone: 9104174096
Mcpc-9 Llc
155 Memorial Dr, Pinehurst, NC 283748710
Mcpc-9 Llc
155 Memorial Dr, Pinehurst, NC 283748710
Mcpc-9 Llc
2919 Beechtree Dr, Sanford, NC 273306934
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Vascular Surgery
Doctor of Osteopathic Medicine (D.O.)
Surgery
Doctor of Medicine (M.D.)
Surgery - Vascular Surgery
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5 FIRSTVILLAGE DRIVE, PINEHURST, NC 28374 (Tel: 9102956831)
Registered at 5 FIRSTVILLAGE DRIVE, PO BOX 2000, PINEHURST, NC 28374 (Tel: 9102956831)
NPI status registered as active in NPPES database
Registered at 2001 VAIL AVE, SUITE 200, CHARLOTTE, NC 282071219 (Tel: 7043232000)
Registered at 4601 PARK RD, SUITE 300, CHARLOTTE, NC 282093239 (Tel: 7043232000)
Recorded as GRACE HEFFNER, PA-C
Physician Assistant (license number reported to NPPES: NC 0010--02679)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Pinehurst
- Angela Miedema, PA-C
- Julie Catron, PA
- Jessica Mccaskill, PA-C
- Christina Revels, PA
- Chad Cole, PA
- Steven Owens, DSCPA-EM, PA-C
Mailing Address
5 Firstvillage Drive, Po Box 2000
Pinehurst, NC 28374
Phone: 9102956831