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HEATHER LYN CUGINI M.D.
NPI 1669707113
Obstetrics & Gynecology in Cape Girardeau, MO

Active since October 15, 2009PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
1111 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701(573) 339-1101(573) 339-1737 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Lyn Cugini M.d. NPPES

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

HEATHER LYN CUGINI M.D. (NPI 1669707113) is an individual obstetrics & gynecology provider in Cape Girardeau, Missouri, licensed in Missouri (2010006156) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Sentara Princess Anne Hospital, and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1669707113
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHEATHER LYN CUGINICredential: M.D.
Location Address1111 N MOUNT AUBURN RDCape Girardeau, MO 63701-3437
Mailing Address1111 N Mount Auburn RdCape Girardeau, MO 63701-3437 · (573) 339-1101 · Fax (573) 339-1737
Phone(573) 339-1101
Fax(573) 339-1737
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 15, 2009
Last NPPES UpdateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1669707113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MO · 2010006156✔ Licensed in NJ · 25MA08662100✔ Licensed in VA · 0101277603
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 N MOUNT AUBURN RD, Cape Girardeau, MO 63701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11181 First Colonial RdVirginia Beach, VA 23454-2437 · Phone (757) 425-1600

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 Lyn Cugini 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 ID5890829436
PECOS Enrollment IDI20230426001678
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.44
Promoting Interoperability100
Improvement Activities40
Cost60.47

Reported Quality Measures

e-Prescribing
99%230 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%592 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WOMEN FIRST, PC
Obstetrics & Gynecology
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1101
JOHN BAUER MD
Internal Medicine
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-6025
DR. CHRIS R ROSENQUIST M.D.
Obstetrics & Gynecology
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1101
DR. SCOT G PRINGLE M.D.
Obstetrics & Gynecology
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1101
DREW ZURAL SATTERFIELD DO
Family Medicine
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-6000
JENNIFER MARIE LOVEGREEN MD
Obstetrics & Gynecology
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 339-1101
EMILY GREENLEY
Nurse Practitioner (Family)
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-6000
REGIONAL PRIMARY CARE, INC
Family Medicine
1111 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 332-6000

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 Cugini's NPI number?

The NPI number for Heather Cugini is 1669707113. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Heather Cugini located?

Heather Cugini practices at 1111 N Mount Auburn Rd, Cape Girardeau, MO 63701. The listed phone number is (573) 339-1101.

What is Heather Cugini's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Heather Cugini enrolled in Medicare?

Yes. Heather Cugini 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 Cugini affiliated with any hospitals?

According to CMS data, Heather Cugini is affiliated with Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Heather Cugini was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.