HEATHER M VAN RAALTE M.D.
NPI 1285660183
Obstetrics & Gynecology - Gynecology in Princeton, NJ

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
79.93/100
CMS Quality Rating
10 FORRESTAL RD S, SUITE 205, PRINCETON, NJ 08540(609) 924-2230(609) 924-5006 Get Directions Write a Review

NPPES record last updated: August 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather M Van Raalte M.d. NPPES

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

HEATHER M VAN RAALTE M.D. (NPI 1285660183) is an individual gynecology provider in Princeton, New Jersey, licensed in New Jersey (25MA08415500) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Vanderbilt University School Of Medicine (2001).

NPPES Registry Identity

NPI1285660183
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameHEATHER M VAN RAALTECredential: M.D.
Location Address10 FORRESTAL RD S, SUITE 205Princeton, NJ 08540-6666
Mailing Address10 Forrestal Rd S, Suite 205Princeton, NJ 08540-6666 · (609) 924-2230 · Fax (609) 924-5006
Fax(609) 924-5006
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2001
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 4, 2016
NPI 1285660183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in NJ · 25MA08415500
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD426505 (PA)
10 FORRESTAL RD S, Princeton, NJ 08540

Other Names 1

Former Name (1)Heather M Mcgehean M.d.

Other Identifiers 6

Other1360068PA · Highmark Blue Shield
Other2052999000PA · Independence Blue Cross
Other03233300PA · Capital Blue Cross
OtherP00372672Railroad Medicare
Other1084443PA · Aetna
Medicare PIN143477ZCK0NJ

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 M Van Raalte 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 ID840215489
PECOS Enrollment IDI20081107000164
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 21

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
9,260 services43 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.
613 services421 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
374 services247 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
217 services178 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.
172 services140 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
137 services137 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

79.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.51
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Anesthesiology (Pain Medicine)
10 FORRESTAL RD S, SUITE 209
PRINCETON, NJ 08540
Clinic/Center (Primary Care)
10 FORRESTAL RD S, SUITE 101
PRINCETON, NJ 08540
Pharmacist
10 FORRESTAL RD S
PRINCETON, NJ 08540

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 Van Raalte's NPI number?

The NPI number for Heather Van Raalte is 1285660183. It was assigned to this individual provider in the NPPES registry on June 23, 2006. The provider is also known as Heather M Mcgehean M.D..

Where is Heather Van Raalte located?

Heather Van Raalte practices at 10 Forrestal Rd S Suite 205, Princeton, NJ 08540. The listed phone number is (609) 924-2230.

What is Heather Van Raalte's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Heather Van Raalte enrolled in Medicare?

Yes. Heather Van Raalte 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 Heather Van Raalte affiliated with any hospitals?

According to CMS data, Heather Van Raalte is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Heather Van Raalte was last updated on August 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.