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HEATHER ANN ESTOPINAL M.D.
NPI 1215033154
Ophthalmology in Huntsville, AL

Active since September 16, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 01D2205461 · Waiver
100/100
CMS Quality Rating
333 WHITESPORT DR SW STE 101, HUNTSVILLE, AL 35801(256) 880-0667 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Ann Estopinal M.d. NPPES

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

HEATHER ANN ESTOPINAL M.D. (NPI 1215033154) is an individual ophthalmology provider in Huntsville, Alabama, licensed in Alabama (21785) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through December 14, 2026, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1994).

NPPES Registry Identity

NPI1215033154
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHEATHER ANN ESTOPINALCredential: M.D.
Location Address333 WHITESPORT DR SW STE 101Huntsville, AL 35801-3455
Mailing Address333 Whitesport Dr Sw Ste 101Huntsville, AL 35801-3455 · (256) 880-0667
Phone(256) 880-0667
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1994
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215033154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AL · 21785
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
333 WHITESPORT DR SW STE 101, Huntsville, AL 35801
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Ann Estopinal 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 ID7012914021
PECOS Enrollment IDI20061106000370
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2205461

Heather Estopinal MD LLC · Huntsville, AL
Active · expires Dec 14, 2026
CLIA Number01D2205461
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorHeather Estopinal
Laboratory Phone(256) 880-0667
Laboratory LocationHeather Estopinal MD LLC333 Whitesport Drive, Suite 101, Huntsville, AL 35801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

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.
318 services221 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
289 services288 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
91 services86 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.
73 services69 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
70 services67 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%77 patients5/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
1%134 patients
Diabetes: Eye Exam
97%373 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
87%63 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
96%140 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
69%116 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%110 patients
Tobacco Use and Help with Quitting Among Adolescents
97%29 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,128 patients
Patients totalRate: 0% · 1,128 patients
0%1,128 patients5/55-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.

Other Providers at the Same Location NPPES

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

HEATHER ESTOPINAL, M.D. LLC
Ophthalmology
333 WHITESPORT DR SW STE 101
HUNTSVILLE, AL 35801
Madison County (256) 880-0667

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 Estopinal's NPI number?

The NPI number for Heather Estopinal is 1215033154. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Heather Estopinal located?

Heather Estopinal practices at 333 Whitesport Dr SW Ste 101, Huntsville, AL 35801. The listed phone number is (256) 880-0667.

What is Heather Estopinal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Heather Estopinal enrolled in Medicare?

Yes. Heather Estopinal 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.

Does Heather Estopinal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2205461) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heather Estopinal accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Heather Estopinal 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 Estopinal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.