DR. HEATHER MCMULLEN MD
NPI 1760469621
Surgery in Syosset, NY

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
221 JERICHO TPKE, SYOSSET, NY 11791(516) 496-2752(516) 496-2763 Get Directions Write a Review

NPPES record last updated: October 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heather Mcmullen Md NPPES

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

DR. HEATHER MCMULLEN MD (NPI 1760469621) is an individual surgery provider in Syosset, New York, licensed in New York (196942) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1991).

NPPES Registry Identity

NPI1760469621
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. HEATHER MCMULLENCredential: MD
Location Address221 JERICHO TPKESyosset, NY 11791-4515
Mailing Address221 Jericho TpkeSyosset, NY 11791-4515 · (516) 496-2752 · Fax (516) 496-2763
Fax(516) 496-2763
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1991
Enumeration DateDecember 30, 2005
Last NPPES UpdateOctober 15, 2013
NPI 1760469621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NY · 196942
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
221 JERICHO TPKE, Syosset, NY 11791

Other Identifiers 4

Medicare UPING84676NY
Medicare PIN020043785NY
Medicaid01846226NY
Medicare PIN78L201NY

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. Heather Mcmullen Md 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 ID2860431186
PECOS Enrollment IDI20050427000143
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 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.
107 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services29 patients
Other procedure on stomach 43999
"Other procedure on stomach" refers to various medical interventions that aren't classified under common stomach procedures. These can include diagnostic procedures, removal of foreign bodies, or treatment of specific conditions. The exact process will depend on the patient's unique health needs.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11791 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Social Worker (Clinical)
221 JERICHO TPKE
SYOSSET, NY 11791
Anesthesiology
221 JERICHO TPKE
SYOSSET, NY 11791
Anesthesiology
221 JERICHO TPKE
SYOSSET, NY 11791
Dietitian, Registered
221 JERICHO TPKE
SYOSSET, NY 11791
Anesthesiology (Pain Medicine)
221 JERICHO TPKE, NORTH SHORE UNIV HOSPITAL AT SYOSSET
SYOSSET, NY 11791
Pharmacist (Infectious Diseases)
221 JERICHO TPKE
SYOSSET, NY 11791
Nurse Anesthetist, Certified Registered
221 JERICHO TPKE
SYOSSET, NY 11791
Anesthesiology
221 JERICHO TPKE
SYOSSET, NY 11791

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 Mcmullen's NPI number?

The NPI number for Heather Mcmullen is 1760469621. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Heather Mcmullen located?

Heather Mcmullen practices at 221 Jericho Tpke, Syosset, NY 11791. The listed phone number is (516) 496-2752.

What is Heather Mcmullen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Heather Mcmullen enrolled in Medicare?

Yes. Heather Mcmullen 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 Mcmullen affiliated with any hospitals?

According to CMS data, Heather Mcmullen is affiliated with North Shore University Hospital and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Heather Mcmullen was last updated on October 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.