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DR. HEATHER MARTIN FROEHLICH M.D.
NPI 1184890634
Pathology - Anatomic Pathology & Clinical Pathology in Mckinney, TX

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
82.03/100
CMS Quality Rating
5213 VIRGINIA PKWY, MCKINNEY, TX 75071(972) 390-9002(972) 767-4363 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2025, Apr 22, 2020, Mar 28, 2018 (3 updates tracked since 2018).

About Dr. Heather Martin Froehlich M.d. NPPES

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

DR. HEATHER MARTIN FROEHLICH M.D. (NPI 1184890634) is an individual anatomic pathology & clinical pathology provider in Mckinney, Texas, licensed in Texas (P8902) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184890634
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. HEATHER MARTIN FROEHLICHCredential: M.D.
Location Address5213 VIRGINIA PKWYMckinney, TX 75071-5655
Mailing Address1790 N Stonebridge DrMckinney, TX 75071-7437 · (972) 390-9002 · Fax (214) 491-3777
Phone(972) 390-9002
Fax(972) 767-4363
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 5, 2008
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1184890634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in TX · P8902✔ Licensed in NH · 15698
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 15698 (NH), P8902 (TX)
5213 VIRGINIA PKWY, Mckinney, TX 75071
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Other Names 1

Former Name (1)Heather Martin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.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 Martin Froehlich 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 ID1557593985
PECOS Enrollment IDI20150722005192
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 Reassignments

6

Medicare enrollment records show Heather Froehlich reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matthew D Barrows MD PA
2.3 mi
Dermatology
1790 N STONEBRIDGE DR
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 23 clinicians in this Medicare group
NPI 1699763490 (972) 390-9002
Houston Pathology Associates
184 mi
Anatomic Pathology & Clinical Pathology
110 MEMORIAL HOSPITAL DR
Huntsville, TX 77340
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
NPI 1952385676 (936) 291-4276
Alliance Pathology Consultants PA
233 mi
Anatomic Pathology & Clinical Pathology
300 KINGWOOD MEDICAL DRIVE, STE 100
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
NPI 1699707943 (281) 312-4000
Sagis, PLLC
245 mi
Anatomic Pathology & Clinical Pathology
4131 DIRECTORS ROW, 4131 DIRECTORS ROW
Houston, TX 77092
  • Reassigned Medicare billing, Arizona and Texas enrollments
  • 24 clinicians in this Medicare group
NPI 1548549066 (877) 697-2447
J S Wilkenfeld MD & Associates
246 mi
Anatomic Pathology & Clinical Pathology
4200 TWELVE OAKS PLACE
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1871630509 (713) 980-7900
Clear Lake Pathology Partners Ltd
252 mi
Anatomic Pathology & Clinical Pathology
6441 MAIN STREET
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1881757458 (713) 790-0500

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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,179 services3,387 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
622 services515 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
597 services324 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
363 services263 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
189 services164 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

82.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.56
Promoting Interoperability97
Improvement Activities40
Cost79.05

Other Providers at the Same Location NPPES

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

JESSICA ZARAH SUGIANTO MD
Pathology (Dermatopathology)
5213 VIRGINIA PKWY
MCKINNEY, TX 75071
Collin County (972) 390-9002

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 Froehlich's NPI number?

The NPI number for Heather Froehlich is 1184890634. It was assigned to this individual provider in the NPPES registry on May 5, 2008. The provider is also known as Heather Martin.

Where is Heather Froehlich located?

Heather Froehlich practices at 5213 Virginia Pkwy, Mckinney, TX 75071. The listed phone number is (972) 390-9002.

What is Heather Froehlich's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Heather Froehlich enrolled in Medicare?

Yes. Heather Froehlich 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 organizations bill Medicare for Heather Froehlich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Froehlich reassigns Medicare benefits to 6 organizations: Matthew D Barrows MD PA (Mckinney, TX), Houston Pathology Associates (Huntsville, TX), Alliance Pathology Consultants PA (Kingwood, TX), Sagis, PLLC (Houston, TX), J S Wilkenfeld MD & Associates (Houston, TX) and 1 more organization, listed in the Medicare section above. Each 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 Froehlich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Froehlich accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Heather Froehlich 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 Froehlich was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.