MS. HEIDI EGNER RPA-C
NPI 1205086964
Physician Assistant in Oakdale, NY

Active since September 30, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
971 MONTAUK HWY, OAKDALE, NY 11769(631) 589-7560 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Heidi Egner Rpa-c NPPES

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

MS. HEIDI EGNER RPA-C (NPI 1205086964) is an individual physician assistant in Oakdale, New York, licensed in New York (004612) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1992).

NPPES Registry Identity

NPI1205086964
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. HEIDI EGNERCredential: RPA-C
Location Address971 MONTAUK HWYOakdale, NY 11769-1434
Mailing Address971 Montauk HwyOakdale, NY 11769-1434 · (631) 589-7560
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1992
Enumeration DateSeptember 30, 2008
NPI 1205086964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 004612
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.

971 MONTAUK HWY, Oakdale, NY 11769

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

Ms. Heidi Egner Rpa-c 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 ID4688832017
PECOS Enrollment IDI20120215000037
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
58 services58 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.
49 services43 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
43 services43 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.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11769 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology
971 MONTAUK HWY
OAKDALE, NY 11769
Family Medicine
971 MONTAUK HWY
OAKDALE, NY 11769
Obstetrics & Gynecology (Obstetrics)
971 MONTAUK HWY
OAKDALE, NY 11769
Obstetrics & Gynecology (Obstetrics)
971 MONTAUK HWY
OAKDALE, NY 11769
Obstetrics & Gynecology (Obstetrics)
971 MONTAUK HWY
OAKDALE, NY 11769
Obstetrics & Gynecology (Obstetrics)
971 MONTAUK HWY
OAKDALE, NY 11769

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 Heidi Egner's NPI number?

The NPI number for Heidi Egner is 1205086964. It was assigned to this individual provider in the NPPES registry on September 30, 2008.

Where is Heidi Egner located?

Heidi Egner practices at 971 Montauk Hwy, Oakdale, NY 11769. The listed phone number is (631) 589-7560.

What is Heidi Egner's specialty?

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

Is Heidi Egner enrolled in Medicare?

Yes. Heidi Egner 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.

Is Heidi Egner affiliated with any hospitals?

According to CMS data, Heidi Egner is affiliated with North Shore University Hospital, Long Island Community Hospital and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Heidi Egner was last updated on September 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.