DR. HEATHER C FORKEY M.D.
NPI 1942291208
Pediatrics in Worcester, MA

Q: What is Heather Forkey's NPI number?

The NPI number for Heather Forkey is 1942291208. It was assigned to this individual provider in the NPPES registry on November 3, 2005. The provider is also known as Dr. Heather Campbell M.D..

Q: What is Heather Forkey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Forkey was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 03, 2005PECOS Enrolled

55 LAKE AVE N, WORCESTER, MA 01655(774) 443-7962(774) 443-7399 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Oct 28, 2020 (2 updates tracked since 2020).

On this page

About Dr. Heather C Forkey M.d. NPPES

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

DR. HEATHER C FORKEY M.D. (NPI 1942291208) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (219751) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942291208

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. HEATHER C FORKEYCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(774) 443-7962

Fax(774) 443-7399

Sole ProprietorNo

Enumeration DateNovember 3, 2005

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1942291208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 219751

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

55 LAKE AVE N, Worcester, MA 01655

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Other Names 1

Former Name (1)Dr. Heather Campbell M.d.

Other Identifiers 1

Medicaid110036615AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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 C Forkey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Forkey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group Inc

0.4 mi

Internal Medicine

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1760445373 (508) 334-1000

Pratt Pediatric Associates Inc

36 mi

Pediatrics

800 WASHINGTON ST, BOX 1013
Boston, MA 02111

Reassigned Medicare billing, Massachusetts enrollment
202 clinicians in this Medicare group

NPI 1477590511 (617) 636-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 20

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

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. SHERINE MARY HASSEY-HALLIGAN NP

Nurse Practitioner

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

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 Forkey's NPI number?

The NPI number for Heather Forkey is 1942291208. It was assigned to this individual provider in the NPPES registry on November 3, 2005. The provider is also known as Dr. Heather Campbell M.D..

Where is Heather Forkey located?

Heather Forkey practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7962.

What is Heather Forkey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Heather Forkey enrolled in Medicare?

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

Which organizations bill Medicare for Heather Forkey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Forkey reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Pratt Pediatric Associates Inc (Boston, MA). 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 Forkey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Forkey accept?

Health plans from Taro Health list Heather Forkey 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 Forkey was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.