DR. HEIDI ROPPELT M.D.
NPI 1578588703
Internal Medicine - Rheumatology in Westhampton Beach, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
147 BEACH RD, SUITE D, WESTHAMPTON BEACH, NY 11978(631) 405-3325(631) 237-3164 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Heidi Roppelt M.d. NPPES

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

DR. HEIDI ROPPELT M.D. (NPI 1578588703) is an individual rheumatology provider in Westhampton Beach, New York, licensed in New York (234902) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Hahnemann University College Of Medicine (2000).

NPPES Registry Identity

NPI1578588703
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. HEIDI ROPPELTCredential: M.D.
Location Address147 BEACH RD, SUITE DWesthampton Beach, NY 11978-1733
Mailing Address147 Beach Rd, Suite DWesthampton Beach, NY 11978-1733 · (631) 405-3325 · Fax (631) 237-3164
Fax(631) 237-3164
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2000
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 21, 2016
NPI 1578588703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 234902
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
147 BEACH RD, Westhampton Beach, NY 11978

Other Identifiers 4

Medicaid02661223NY
Other4281F1NY · Empire Bc.bs
Other7789693NY · Aetna
Medicare UPINI29691NY

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 Roppelt 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 ID6709828783
PECOS Enrollment IDI20050601000016
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 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.
173 services103 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.
45 services45 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.
23 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11978 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Internal Medicine
147 BEACH RD
WESTHAMPTON BEACH, NY 11978
Clinic/Center (Primary Care)
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Nurse Practitioner
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Family Medicine
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Family Medicine
147 BEACH RD, SUITE A
WESTHAMPTON BEACH, NY 11978
Family Medicine
147 BEACH RD
WESTHAMPTON BEACH, NY 11978

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 Roppelt's NPI number?

The NPI number for Heidi Roppelt is 1578588703. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Heidi Roppelt located?

Heidi Roppelt practices at 147 Beach Rd Suite D, Westhampton Beach, NY 11978. The listed phone number is (631) 405-3325.

What is Heidi Roppelt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Heidi Roppelt enrolled in Medicare?

Yes. Heidi Roppelt 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 Heidi Roppelt affiliated with any hospitals?

According to CMS data, Heidi Roppelt is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Roppelt was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.