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GREGORY D HEIFLER MD
NPI 1902998685
Family Medicine in Montclair, NJ

Active since September 29, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D1075874 · Waiver
83.67/100
CMS Quality Rating
103 PARK STREET, BUILDING B, MONTCLAIR, NJ 07042(973) 783-4117(973) 783-5236 Get Directions Write a Review

NPPES record last updated: August 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory D Heifler Md NPPES

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

GREGORY D HEIFLER MD (NPI 1902998685) is an individual family medicine provider in Montclair, New Jersey, licensed in New Jersey (MA064696NJ) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 30, 2027, and is affiliated with Hackensack Meridian Health, Mountainside Medical.

NPPES Registry Identity

NPI1902998685
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY D HEIFLERCredential: MD
Location Address103 PARK STREET, BUILDING BMontclair, NJ 07042
Mailing Address103 Park Street, Building BMontclair, NJ 07042 · (973) 783-4117 · Fax (973) 783-5236
Phone(973) 783-4117
Fax(973) 783-5236
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1994
Enumeration DateSeptember 29, 2006
Last NPPES UpdateAugust 27, 2011
✔ NPI 1902998685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA064696NJ
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
103 PARK STREET, Montclair, NJ 07042
Open in Google Maps ↗

Other Identifiers 3

Other719298NJ · Rail Road Medicare
Medicare UPING44235
Medicare ID-Type UnspecifiedHE719298NJ

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

Gregory D Heifler 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 ID3476549742
PECOS Enrollment IDI20040422000354
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1075874

Gregory Heifler MD PA · Montclair, NJ
Active · expires Oct 30, 2027
CLIA Number31D1075874
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorHeifler Gregory MD
Laboratory Phone(973) 783-4117
Laboratory LocationGregory Heifler MD PA103 Park Street Bldg B, Montclair, NJ 07042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
529 services218 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
458 services248 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
248 services184 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
173 services164 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
164 services164 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.
110 services66 patients

Hospital Affiliations CMS Care Compare

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

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.8
Promoting Interoperability87
Improvement Activities40
Cost71.62

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers19 claims41 services$6.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MS. BARBARA A HOLTON LCSW
Social Worker (Clinical)
103 PARK STREET, STE 4
MONTCLAIR, NJ 07042
Essex County (973) 783-8313
RAE DUMONT, FAMILY CONSULTS LLC
Clinic/Center (Adult Mental Health)
103 PARK STREET, SUITE 4
MONTCLAIR, NJ 07042
Essex County (207) 422-2020

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 Gregory Heifler's NPI number?

The NPI number for Gregory Heifler is 1902998685. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Gregory Heifler located?

Gregory Heifler practices at 103 Park Street Building B, Montclair, NJ 07042. The listed phone number is (973) 783-4117.

What is Gregory Heifler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory Heifler enrolled in Medicare?

Yes. Gregory Heifler 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.

Does Gregory Heifler hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1075874) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Gregory Heifler affiliated with any hospitals?

According to CMS data, Gregory Heifler is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Gregory Heifler was last updated on August 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.