DR. HEATHER M NISBETH M.D.
NPI 1912952243
Internal Medicine - Gastroenterology in Southbury, CT

Q: What is Heather Nisbeth's NPI number?

The NPI number for Heather Nisbeth is 1912952243. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Heather Nisbeth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Heather Nisbeth was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 24, 2006PECOS Enrolled

22 OLD WATERBURY RD, SUITE 201, SOUTHBURY, CT 06488(203) 264-6503(203) 262-1430 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Heather M Nisbeth M.d. NPPES

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

DR. HEATHER M NISBETH M.D. (NPI 1912952243) is an individual gastroenterology provider in Southbury, Connecticut, licensed in Connecticut (032576) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1989).

NPPES Registry Identity

NPI1912952243

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. HEATHER M NISBETHCredential: M.D.

Location Address22 OLD WATERBURY RD, SUITE 201Southbury, CT 06488-3848

Mailing Address22 Old Waterbury Road, Suite 201Southbury, CT 06488-3848 · (203) 264-6503 · Fax (203) 262-1430

Phone(203) 264-6503

Fax(203) 262-1430

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1989

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 20, 2010

✔ NPI 1912952243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CT · 032576

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

22 OLD WATERBURY RD, Southbury, CT 06488

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Other Identifiers 3

Medicare ID-Type Unspecified110006376CT

Medicaid004394532CT

Medicare UPING32070CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather M Nisbeth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072780956

PECOS Enrollment IDI20120117000608

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 Reassignments

Medicare enrollment records show Heather Nisbeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uconn Health Community Network Medical Group, Inc.

9.6 mi

Family Medicine

64 ROBBINS ST
Waterbury, CT 06708

Reassigned Medicare billing, Connecticut enrollment
152 clinicians in this Medicare group

NPI 1548119522 (203) 573-7280

Prospect Ct Medical Foundation, Inc.

41 mi

Family Medicine

71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040

Reassigned Medicare billing, Connecticut enrollment
422 clinicians in this Medicare group

NPI 1144677568 (860) 533-2981

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

Areas of Expertise CMS Part B claims 12

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

222 services133 patients

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.

210 services133 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.

94 services94 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

91 services91 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.

56 services52 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

42 services42 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.

38 services29 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

38 services38 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

31 services31 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.

15 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services14 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06488 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 19

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

DR. AGATA JASKIEWICZ-POZNANSKA M.D.

Family Medicine

22 OLD WATERBURY RD
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 262-4200

DR. CATHERINE G WINKLER PHD, MPH, APRN

Nurse Practitioner (Adult Health)

22 OLD WATERBURY RD
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 262-4200

HARSHANA PATEL DO

Internal Medicine

22 OLD WATERBURY RD
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 267-4200

DR. FITZHUGH C PANNILL III M.D.

Internal Medicine (Geriatric Medicine)

22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 264-6503

LALAINE MORTERA M.D.

Pediatrics

22 OLD WATERBURY RD, SUITE 204
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 262-4250

KRISTEN L VELSMID APRN

Nurse Practitioner

22 OLD WATERBURY RD, SUITE 203
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 262-4220

DR. IRA D MICKENBERG M.D.

Internal Medicine (Infectious Disease)

22 OLD WATERBURY RD, SUITE 201
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 264-6503

MS. LINDA EGLIT APRN

Nurse Practitioner (Gerontology)

22 OLD WATERBURY RD
SOUTHBURY, CT 06488

Naugatuck Valley Planning Region (203) 262-4200

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 Nisbeth's NPI number?

The NPI number for Heather Nisbeth is 1912952243. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Heather Nisbeth located?

Heather Nisbeth practices at 22 Old Waterbury Rd Suite 201, Southbury, CT 06488. The listed phone number is (203) 264-6503.

What is Heather Nisbeth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Heather Nisbeth enrolled in Medicare?

Yes. Heather Nisbeth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Nisbeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Nisbeth reassigns Medicare benefits to 2 organizations: Uconn Health Community Network Medical Group, Inc. (Waterbury, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). Each 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 Heather Nisbeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Nisbeth accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Nisbeth 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.

When was this NPI record last updated?

The NPPES record for Heather Nisbeth was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.