Active NPI 1063422749 Individual Practitioner Female Practitioner

Dr. Heather Wark , MD

Internal Medicine • Northampton, MA

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Heather Wark, MD is a registered Internal Medicine practitioner in Northampton, MA. With approximately 35 years of clinical practice since graduating from University Of Vermont College Of Medicine in 1991, Dr. Wark provides healthcare services at the registered practice location at 548 ELM ST.

Dr. Wark is affiliated with Heather Wark Md Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service);, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

548 Elm St

Northampton, MA 010602832

Telephone 4135863150

Fax 4137747049

Associated Practice Facility / Clinic

🏢 Heather Wark Md Llc Facility NPI 1871015750

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Northampton, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +6.9 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

23 Specialists

Practicing in Northampton, MA (7127 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wark (35 Years) 35 Yrs

Northampton Specialty Average (28.1 Years) 28.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	167	61	$34.96	$28.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	152	79	$113.82	$70.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	132	70	$145.36	$101.70
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	111	60	$179.08	$145.46
99306 Initial nursing facility visit, typically 45 minutes per day	96	86	$219.00	$171.38
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	44	33	$82.73	$38.35
99316 Nursing facility discharge management, more than 30 minutes	18	17	$149.11	$123.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$152.00	$124.68
G0180 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	16	16	$89.38	$51.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	310	96	$35.68	$30.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	208	108	$138.00	$108.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	183	82	$161.97	$155.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	129	74	$105.79	$75.37
99306 Initial nursing facility visit, typically 45 minutes per day	104	95	$218.32	$183.78
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	30	24	$74.53	$40.18
99316 Nursing facility discharge management, more than 30 minutes	18	18	$145.00	$132.56
G0180 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	14	14	$90.00	$53.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	386	182	$138.00	$92.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	243	125	$162.00	$136.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	219	114	$104.00	$70.46
99306 Initial nursing facility visit, typically 45 minutes per day	150	144	$219.00	$167.93
99358 Prolonged patient service without direct patient contact first hour	128	117	$125.00	$112.81
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	48	41	$70.00	$44.70
99316 Nursing facility discharge management, more than 30 minutes	18	18	$145.00	$105.51
G0180 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	13	13	$90.00	$55.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	335	137	$104.00	$71.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	314	155	$138.00	$93.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	146	86	$162.00	$139.26
99306 Initial nursing facility visit, typically 45 minutes per day	115	110	$219.00	$171.33
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	114	63	$70.00	$45.34
99358 Prolonged patient service without direct patient contact first hour	67	64	$125.00	$114.76
99316 Nursing facility discharge management, more than 30 minutes	18	18	$145.00	$108.12
G0180 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	13	13	$90.00	$55.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	518	184	$138.00	$95.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	362	148	$104.00	$72.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	346	144	$162.00	$140.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	166	101	$70.00	$45.99
99306 Initial nursing facility visit, typically 45 minutes per day	51	45	$219.00	$174.73
99358 Prolonged patient service without direct patient contact first hour	40	37	$125.00	$117.24
99497 Advance care planning, first 30 minutes	14	14	$110.00	$81.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	13	$138.00	$96.03
99316 Nursing facility discharge management, more than 30 minutes	11	11	$145.00	$110.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	412	188	$138.00	$95.14
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	361	184	$162.00	$140.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	295	142	$104.12	$71.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	136	99	$70.00	$45.69
99306 Initial nursing facility visit, typically 45 minutes per day	105	93	$219.00	$172.77
99316 Nursing facility discharge management, more than 30 minutes	25	23	$145.00	$109.59
G0180 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	17	17	$90.00	$55.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	419	202	$138.00	$92.45
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	294	157	$104.00	$69.97
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	292	163	$162.00	$137.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	97	81	$70.00	$44.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	82	72	$138.00	$92.93
99306 Initial nursing facility visit, typically 45 minutes per day	79	73	$219.00	$168.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	44	$104.00	$70.16
99316 Nursing facility discharge management, more than 30 minutes	42	42	$145.00	$106.89
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	38	32	$162.00	$137.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	18	$70.00	$45.26
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$219.00	$166.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	429	192	$104.00	$69.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	367	185	$138.00	$92.10
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	177	119	$162.00	$136.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	110	79	$70.00	$44.95
99306 Initial nursing facility visit, typically 45 minutes per day	53	50	$219.00	$167.39

Medical Specialties & State Licenses

CMS Verified: 2021-04-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 76508

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3143384 (MA)

Commercial Insurance / Payer ID Bmc Healthnet

25338 (MA)

Commercial Insurance / Payer ID Bc/bs Ma

J16239 (MA)

Hospital & Practice Group Affiliations

Heather Wark Md Llc

548 Elm St, Northampton, MA 010602832

Phone: 4135862832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Marie Chalifour , OTR, L

Occupational Therapist - Neurorehabilitation

NPI 1801273065

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 09, 2021

Registered at 548 ELM ST, NORTHAMPTON, MA 010602832 (Tel: 4135863150)

📍

Updated Business Mailing Address April 09, 2021

Registered at 548 ELM ST, NORTHAMPTON, MA 010602832 (Tel: 4135863150)

✅

NPI Profile Active November 21, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 21, 2016

Registered at 340 MONTAGUE CITY RD, TURNERS FALLS, MA 013761830 (Tel: 4137743111)

📍

Updated Business Mailing Address November 21, 2016

Registered at 340 MONTAGUE CITY RD, TURNERS FALLS, MA 013761830 (Tel: 4137743111)

👤

Provider Name / Credentials Updated November 21, 2016

Recorded as HEATHER WARK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2016

Internal Medicine (License #76508 in MA)

🟢

Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063422749

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2006

Last Update: April 09, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

548 Elm St

Northampton, MA 010602832

Phone: 4135863150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.