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HEIDI GINTER M.D.
NPI 1659356574
Family Medicine - Addiction Medicine in Stoughton, MA

Active since December 14, 2005PECOS Enrolled
150 YORK ST, STOUGHTON, MA 02072(781) 297-7000 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2026, Jun 9, 2025, Mar 22, 2025 and 4 more (7 updates tracked since 2016).

About Heidi Ginter M.d. NPPES

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

HEIDI GINTER M.D. (NPI 1659356574) is an individual addiction medicine provider in Stoughton, Massachusetts, licensed in Massachusetts (159349) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659356574
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameHEIDI GINTERCredential: M.D.
Location Address150 YORK STStoughton, MA 02072-1829
Mailing Address176 Quincy AveBrockton, MA 02302-2803 · (508) 948-0575
Phone(781) 297-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 14, 2005
Last NPPES UpdateApril 1, 20267 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1659356574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Licenses✔ Licensed in MA · 159349✔ Licensed in NH · 16460✔ Licensed in CT · 52615✔ Licensed in ME · MD19870
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 159349 (MA)
150 YORK ST, Stoughton, MA 02072
Open in Google Maps ↗

Other Names 1

Former Name (1)Heidi B. Ginter M.d.

Other Identifiers 3

Medicaid1301071MA
Medicaid1306421MA
Medicaid1308785MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heidi Ginter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709177389
PECOS Enrollment IDI20161116000980
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.

Medicare Billing Reassignment

Medicare enrollment records show Heidi Ginter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightview LLC
645 mi
Addiction Medicine
341 N FAYETTEVILLE ST
Asheboro, NC 27203
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
NPI 1962163782 (833) 510-4357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02072 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

MRS. STACY HAMEL CANNELL PA-C
Physician Assistant
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 344-1317
MRS. LISA L. FORAN PA-C
Physician Assistant (Medical)
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 344-0600
JESSICA L ACKERMAN M.S. CCC-SLP
Speech-Language Pathologist
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 297-1420
ROBERT MIRKIN SCHLESINGER M.D.
Urology
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 297-1391
SUSAN ESPO GREENFIELD
Speech-Language Pathologist
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 344-0600
MS. JOANNE GRANDFIELD PA-C
Physician Assistant (Medical)
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 344-0600
SOUND PHYSICIANS OF MASSACHUSETTS, INC
Internal Medicine
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (781) 344-0600
STELLA CAZALES
Respiratory Therapist, Registered
150 YORK ST
STOUGHTON, MA 02072
Norfolk County (857) 266-3478

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 Ginter's NPI number?

The NPI number for Heidi Ginter is 1659356574. It was assigned to this individual provider in the NPPES registry on December 14, 2005. The provider is also known as Heidi B. Ginter M.D..

Where is Heidi Ginter located?

Heidi Ginter practices at 150 York St, Stoughton, MA 02072. The listed phone number is (781) 297-7000.

What is Heidi Ginter's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Heidi Ginter enrolled in Medicare?

Yes. Heidi Ginter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heidi Ginter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Ginter reassigns Medicare benefits to Brightview LLC (Asheboro, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heidi Ginter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Ginter accept?

Health plans from WellSense Health Plan list Heidi Ginter 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 Ginter affiliated with any hospitals?

According to CMS data, Heidi Ginter is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Ginter was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.