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DR. HEATH ANTOINE M.D.
NPI 1265728638
Surgery in Somerset, NJ

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
81 VERONICA AVE STE 205, SOMERSET, NJ 08873(732) 640-5316 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2021, Jun 5, 2017 (2 updates tracked since 2017).

About Dr. Heath Antoine M.d. NPPES

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

DR. HEATH ANTOINE M.D. (NPI 1265728638) is an individual surgery provider in Somerset, New Jersey, licensed in New Jersey (25MA10177100) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265728638
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HEATH ANTOINECredential: M.D.
Location Address81 VERONICA AVE STE 205Somerset, NJ 08873-3491
Mailing Address81 Veronica Ave Ste 205Somerset, NJ 08873-3491 · (732) 640-5316
Phone(732) 640-5316
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1265728638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NJ · 25MA10177100✔ Licensed in MI · 4301099228✔ Licensed in OH · 35129604
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
81 VERONICA AVE STE 205, Somerset, NJ 08873
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Other Identifiers 1

Medicaid1265728638MI

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. Heath Antoine 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 ID5698907012
PECOS Enrollment IDI20220919003464
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 2

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.
19 services12 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

Other Providers at the Same Location NPPES 11

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

CLAIRE LOUISE TEREZ
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
JENNIFER PAN MD
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5327
DR. RAGUI SADEK M. D.
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
DEREK BERGLUND
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
KEITH KING
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
ASHLEY FARHAT-SABET MD
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
DR. DAVID YOU M.D., PHD
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316
SIDDHARTH KUDAV M.D.
Surgery
81 VERONICA AVE STE 205
SOMERSET, NJ 08873
Somerset County (732) 640-5316

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 Heath Antoine's NPI number?

The NPI number for Heath Antoine is 1265728638. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Heath Antoine located?

Heath Antoine practices at 81 Veronica Ave Ste 205, Somerset, NJ 08873. The listed phone number is (732) 640-5316.

What is Heath Antoine's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heath Antoine enrolled in Medicare?

Yes. Heath Antoine 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 Heath Antoine affiliated with any hospitals?

According to CMS data, Heath Antoine is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Heath Antoine was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.