DR. BRIAN HEPPARD M.D.
NPI 1407965346
Family Medicine - Geriatric Medicine in Rochester, NY

Q: What is Brian Heppard's NPI number?

The NPI number for Brian Heppard is 1407965346. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Brian Heppard's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Brian Heppard was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

2021 WINTON RD S, ROCHESTER, NY 14618(585) 244-5993(585) 272-0186 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Jul 21, 2022, Mar 20, 2018 (3 updates tracked since 2018).

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About Dr. Brian Heppard M.d. NPPES

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

DR. BRIAN HEPPARD M.D. (NPI 1407965346) is an individual geriatric medicine provider in Rochester, New York, licensed in New York (213765) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1407965346

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. BRIAN HEPPARDCredential: M.D.

Location Address2021 WINTON RD SRochester, NY 14618-3957

Mailing Address2021 Winton Rd SRochester, NY 14618-3957 · (585) 244-5993 · Fax (585) 272-0186

Phone(585) 244-5993

Fax(585) 272-0186

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1407965346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in NY · 213765

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 213765 (NY)

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 213765 (NY)

2021 WINTON RD S, Rochester, NY 14618

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Other Identifiers 1

Medicaid02165548NY

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. Brian Heppard 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 ID2264449545

PECOS Enrollment IDI20060310000394

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

66 services35 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.

51 services27 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

47 services28 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.

36 services24 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

28 services16 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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Other Providers at the Same Location NPPES 20

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

BRENDA B BARATTA MD

Internal Medicine