MR. PETER HEILBRONER MD
NPI 1861453011
Psychiatry & Neurology - Neurology in Ridgewood, NJ

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.04/100
CMS Quality Rating
1200 EAST RIDGEWOOD AVE, EAST WING - 2ND FLOOR, RIDGEWOOD, NJ 07450(201) 444-0868(201) 493-0797 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Peter Heilbroner Md NPPES

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

MR. PETER HEILBRONER MD (NPI 1861453011) is an individual neurology provider in Ridgewood, New Jersey, licensed in New Jersey (MA66993) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1993).

NPPES Registry Identity

NPI1861453011
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. PETER HEILBRONERCredential: MD
Location Address1200 EAST RIDGEWOOD AVE, EAST WING - 2ND FLOORRidgewood, NJ 07450
Mailing Address1200 East Ridgewood Ave, East Wing - 2nd FloorRidgewood, NJ 07450 · (201) 444-0868 · Fax (201) 493-0797
Fax(201) 493-0797
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1993
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 11, 2008
NPI 1861453011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NJ · MA66993
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1200 EAST RIDGEWOOD AVE, Ridgewood, NJ 07450

Other Identifiers 4

Medicaid7707100NJ
Medicare UPING79862
Medicare PIN017933ADP
Medicare ID-Type Unspecified017933

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

Mr. Peter Heilbroner 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 ID6204868052
PECOS Enrollment IDI20100913000039
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 3

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
33 services33 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

84.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.06
Promoting Interoperability100
Improvement Activities40
Cost77.73

Other Providers at the Same Location NPPES 13

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

Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING - 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING - 2ND FLOOR
RIDGEWOOD, NJ 07450
Psychiatry & Neurology (Neurology)
1200 EAST RIDGEWOOD AVE, EAST WING 2ND FLOOR
RIDGEWOOD, NJ 07450
Plastic Surgery
1200 EAST RIDGEWOOD AVE, 2ND FLOOR WEST WING
RIDGEWOOD, NJ 07450
Dentist (Pediatric Dentistry)
1200 EAST RIDGEWOOD AVE
RIDGEWOOD, NJ 07450

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 Peter Heilbroner's NPI number?

The NPI number for Peter Heilbroner is 1861453011. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Peter Heilbroner located?

Peter Heilbroner practices at 1200 East Ridgewood Ave East Wing - 2nd Floor, Ridgewood, NJ 07450. The listed phone number is (201) 444-0868.

What is Peter Heilbroner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peter Heilbroner enrolled in Medicare?

Yes. Peter Heilbroner 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 Peter Heilbroner affiliated with any hospitals?

According to CMS data, Peter Heilbroner is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Peter Heilbroner was last updated on April 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.