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HEATHER L SCHAUBACH PA
NPI 1053748780
Physician Assistant in Raleigh, NC

Active since September 26, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3821 ED DR, RALEIGH, NC 27612(919) 758-8677(919) 758-8723 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Apr 21, 2022, Aug 26, 2016 (3 updates tracked since 2016).

About Heather L Schaubach Pa NPPES

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

HEATHER L SCHAUBACH PA (NPI 1053748780) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-12112) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053748780
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER L SCHAUBACHCredential: PA
Location Address3821 ED DRRaleigh, NC 27612-8038
Mailing Address3821 Ed DrRaleigh, NC 27612-8038 · (919) 758-8677 · Fax (919) 758-8723
Phone(919) 758-8677
Fax(919) 758-8723
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2013
Enumeration DateSeptember 26, 2013
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1053748780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-12112✔ Licensed in VA · 0110004387
Definition
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.
3821 ED DR, Raleigh, NC 27612
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12410 Atherholt RdLynchburg, VA 24501-2148 · Phone (434) 200-2712 · Fax (434) 200-2851
Location 2781 Avent Ferry Rd Ste 206Holly Springs, NC 27540-7776 · Phone (919) 784-2930

Other Identifiers 1

Medicaid1053748780VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 L Schaubach Pa 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 ID42446668
PECOS Enrollment IDI20220615002837
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
49 services48 patients
Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes 99448
This is a virtual consultation with a specialist doctor lasting between 21-30 minutes. It can take place over the phone or internet. After the session, the doctor will provide a written report about your health condition and any recommended next steps.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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

Other Providers at the Same Location NPPES 18

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

MRS. HILDEGARDE MICHEL PERRY NP
Nurse Practitioner
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 863-9441
DR. TIMOTHY PAUL BUKOWSKI MD
Urology (Pediatric Urology)
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 851-5482
HANNAH GRACE WILLARD PA
Physician Assistant
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 758-8677
DR. JOSEPH D. NEIGHBORS JR. M.D.
Urology
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 782-1255
DR. MARK W JALKUT MD
Urology
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 782-1255
MARTHA BROOKE HARRIS PA-C
Physician Assistant
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 758-8677
MIYAD MOVASSAGHI MD
Urology
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 758-8677
CHELSEA ZURL PA-C
Physician Assistant
3821 ED DR
RALEIGH, NC 27612
Wake County (919) 758-8677

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 Schaubach's NPI number?

The NPI number for Heather Schaubach is 1053748780. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Heather Schaubach located?

Heather Schaubach practices at 3821 Ed Dr, Raleigh, NC 27612. The listed phone number is (919) 758-8677.

What is Heather Schaubach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Schaubach enrolled in Medicare?

Yes. Heather Schaubach 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 Schaubach accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Heather Schaubach 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.

Is Heather Schaubach affiliated with any hospitals?

According to CMS data, Heather Schaubach is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Heather Schaubach was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.