HEATHER RENE WALDRUP M.D.
NPI 1043539554
Surgery in Birmingham, AL

Active since May 24, 2010PECOS EnrolledAccepts Medicare Assignment
92.2/100
CMS Quality Rating
3686 GRANDVIEW PKWY STE 400, BIRMINGHAM, AL 35243(205) 595-8985(205) 595-8987 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2016, Dec 17, 2015 (2 updates tracked since 2015).

About Heather Rene Waldrup M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER RENE WALDRUP M.D. (NPI 1043539554) is an individual surgery provider in Birmingham, Alabama, licensed in Alabama (33063) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1043539554
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameHEATHER RENE WALDRUPCredential: M.D.
Location Address3686 GRANDVIEW PKWY STE 400Birmingham, AL 35243-3404
Mailing Address3686 Grandview Pkwy Ste 400Birmingham, AL 35243-3404 · (205) 595-8985 · Fax (205) 595-8987
Fax(205) 595-8987
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateMay 24, 2010
Last NPPES UpdateMarch 25, 20162 updates tracked since enumeration
NPI 1043539554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AL · 33063
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3686 GRANDVIEW PKWY STE 400, Birmingham, AL 35243

Other Identifiers 2

Medicaid182477AL
Medicare PIN102I022640AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather Rene Waldrup M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799929253
PECOS Enrollment IDI20151229001448
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost74

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400, SUITE 600
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Surgery
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243
Dietitian, Registered
3686 GRANDVIEW PKWY STE 400
BIRMINGHAM, AL 35243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Waldrup's NPI number?

The NPI number for Heather Waldrup is 1043539554. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Heather Waldrup located?

Heather Waldrup practices at 3686 Grandview Pkwy Ste 400, Birmingham, AL 35243. The listed phone number is (205) 595-8985.

What is Heather Waldrup's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heather Waldrup enrolled in Medicare?

Yes. Heather Waldrup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Waldrup accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Heather Waldrup as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Waldrup was last updated on March 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.