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DR. HEIDI LEE SINCLAIR MD, MPH
NPI 1215950225
Internal Medicine in Baton Rouge, LA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
7436 BISHOP OTT DR, BATON ROUGE, LA 70806(225) 490-0604(225) 490-0354 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Heidi Lee Sinclair Md, Mph NPPES

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

DR. HEIDI LEE SINCLAIR MD, MPH (NPI 1215950225) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (025106) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and maintains a secondary practice location in Marrero.

NPPES Registry Identity

NPI1215950225
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HEIDI LEE SINCLAIRCredential: MD, MPH
Location Address7436 BISHOP OTT DRBaton Rouge, LA 70806-8931
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0010 · Fax (225) 765-9298
Phone(225) 490-0604
Fax(225) 490-0354
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2000
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1215950225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 025106
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7436 BISHOP OTT DR, Baton Rouge, LA 70806
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Secondary Practice Location 1

Location 11101 Medical Center Blvd.Marrero, LA 70072-3147 · Phone (504) 349-1656 · Fax (504) 349-1933

Other Identifiers 1

Medicaid1420786LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Dr. Heidi Lee Sinclair Md, Mph 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 ID9537239579
PECOS Enrollment IDI20080603000735
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
274 services109 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
96 services59 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.
50 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES 2

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

FELICIA S JONES FNP-C
Family Medicine
7436 BISHOP OTT DR
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 490-0604
TIFFANY N CAVALIER FNP
Family Medicine
7436 BISHOP OTT DR
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 490-0604

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 Sinclair's NPI number?

The NPI number for Heidi Sinclair is 1215950225. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Heidi Sinclair located?

Heidi Sinclair practices at 7436 Bishop Ott Dr, Baton Rouge, LA 70806. The listed phone number is (225) 490-0604.

What is Heidi Sinclair's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heidi Sinclair enrolled in Medicare?

Yes. Heidi Sinclair 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.

What insurance does Heidi Sinclair accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Heidi Sinclair 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.

Is Heidi Sinclair affiliated with any hospitals?

According to CMS data, Heidi Sinclair is affiliated with Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Heidi Sinclair was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.