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DR. HEATHER MARGONARI DNP, FNP-BC
NPI 1194107128
Nurse Practitioner - Family in Pittsburgh, PA

Active since June 26, 2015PECOS Enrolled
77.5/100
CMS Quality Rating
5200 CENTRE AVE, SUITE 611, PITTSBURGH, PA 15232(412) 623-6910(412) 623-6911 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Heather Margonari Dnp, Fnp-bc NPPES

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

DR. HEATHER MARGONARI DNP, FNP-BC (NPI 1194107128) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP015026) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194107128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. HEATHER MARGONARICredential: DNP, FNP-BC
Location Address5200 CENTRE AVE, SUITE 611Pittsburgh, PA 15232-1300
Mailing Address200 Lothrop St, Forbes Tower, Suite 9055Pittsburgh, PA 15213-2536 · (412) 647-3087 · Fax (412) 647-4486
Phone(412) 623-6910
Fax(412) 623-6911
Sole ProprietorYes
Enumeration DateJune 26, 2015
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1194107128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP015026
5200 CENTRE AVE, Pittsburgh, PA 15232
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather Margonari Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Heather Margonari reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upmc Community Medicine Inc
Same address
Gastroenterology
5200 CENTRE AVE, SUITE 312
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1447688411 (412) 647-7788
University Of Pittsburgh Physicians
0.1 mi
Internal Medicine
5215 CENTRE AVE, FIRST FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1013188432 (412) 647-3087

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

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

KRISHNA KANCHARLA
Internal Medicine (Clinical Cardiac Electrophysiology)
5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232
Allegheny County (412) 623-6889
EMILY YEE
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
HITENDRA PATEL
Legal Medicine
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
STEPHANIE RICHARDS
Specialist
5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
HARRY RAFKIN
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
DR. MARK RIZKO MD
Student in an Organized Health Care Education/Training Program
5200 CENTRE AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-2121
TINA MUSAHL
Internal Medicine (Gastroenterology)
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
JOEL BIGLEY
Urology
5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232
Allegheny County (412) 605-3000

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 Margonari's NPI number?

The NPI number for Heather Margonari is 1194107128. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Heather Margonari located?

Heather Margonari practices at 5200 Centre Ave Suite 611, Pittsburgh, PA 15232. The listed phone number is (412) 623-6910.

What is Heather Margonari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Heather Margonari enrolled in Medicare?

Yes. Heather Margonari is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Margonari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Margonari reassigns Medicare benefits to 2 organizations: Upmc Community Medicine Inc (Pittsburgh, PA) and University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Margonari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Margonari was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.