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DR. HEATHER R HALEY MD
NPI 1063493716
Dermatology in Fairhope, AL

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
202 ROCK CREEK PARKWAY, FAIRHOPE, AL 36532(251) 928-3844(251) 928-3353 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Feb 18, 2021, Jan 30, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Heather R Haley Md NPPES

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

DR. HEATHER R HALEY MD (NPI 1063493716) is an individual dermatology provider in Fairhope, Alabama, licensed in Alabama (22797) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1063493716
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. HEATHER R HALEYCredential: MD
Location Address202 ROCK CREEK PARKWAYFairhope, AL 36532-3349
Mailing Address801 York StManitowoc, WI 54220-4630
Phone(251) 928-3844
Fax(251) 928-3353
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998
Enumeration DateNovember 9, 2005
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1063493716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in AL · 22797
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
202 ROCK CREEK PARKWAY, Fairhope, AL 36532
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Secondary Practice Locations 2

Location 1200 Rock Creek PkwyFairhope, AL 36532-3349 · Phone (251) 928-3844 · Fax (251) 928-3353
Location 21620 N McKenzie StFoley, AL 36535-2248 · Phone (251) 501-2240

Other Identifiers 1

Other051516754AL · Blue Cross Provider No

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Heather R Haley Md 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 ID1850293911
PECOS Enrollment IDI20040127000472
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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Haley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Forefront Dermatology, S.C.
Same address
Dermatology
202 ROCK CREEK PKWY
Fairhope, AL 36532
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Forefront Dermatology Sc
  • 29 clinicians in this Medicare group
NPI 1194289181 (251) 928-3844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,213 services202 patients
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.
394 services298 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
314 services247 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
200 services166 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services109 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
124 services109 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Advance Care Plan
65%784 patients3/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%156 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 85% · 323 patients
85%323 patients
Provide Patients Electronic Access to Their Health Information
92%1,038 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Haley's NPI number?

The NPI number for Heather Haley is 1063493716. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Heather Haley located?

Heather Haley practices at 202 Rock Creek Parkway, Fairhope, AL 36532. The listed phone number is (251) 928-3844.

What is Heather Haley's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Heather Haley enrolled in Medicare?

Yes. Heather Haley 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.

Which organization bills Medicare for Heather Haley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Haley reassigns Medicare benefits to Forefront Dermatology, S.C. (Fairhope, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Haley accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Heather Haley 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 Haley was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.