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Active NPI 1265728638 Individual Practitioner Male Practitioner

Dr. Heath Antoine , MD

Surgery • Somerset, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heath Antoine, MD is a certified Surgery practicing in Somerset, NJ. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Antoine delivers high-quality medical care to the local community at 81 VERONICA AVE STE 205.

Dr. Antoine is affiliated with Temple Faculty Practice Plan Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, 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

81 Veronica Ave Ste 205

Somerset, NJ 088733491

Telephone 7326405316
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Somerset, NJ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -3.4 yrs vs City Avg
City Avg: 18.4 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Somerset, NJ (815 Statewide)

Telehealth Adoption Rate
30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Antoine (15 Years) 15 Yrs
Somerset Specialty Average (18.4 Years) 18.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes
19 12 $130.00 $93.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 11 $200.00 $131.57

Medical Specialties & State Licenses

CMS Verified: 2021-02-05
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA10177100

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 4301099228

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License OH 35129604

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1265728638 (MI)

Hospital & Practice Group Affiliations

Temple Faculty Practice Plan Inc

3401 N Broad St, Philadelphia, PA 191405103

Phone: 2157073008

Practice Associates & Co-Workers

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

9 Associated Practitioners
NPI 1003340878
NPI 1235213679

Doctor of Medicine (M.D.)

NPI 1235526591
Keith King

Surgery

NPI 1275932766
NPI 1427686195

Doctor of Medicine (M.D.)

NPI 1689792525

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location February 08, 2021

Registered at 81 VERONICA AVE STE 205, SOMERSET, NJ 088733491 (Tel: 7326405316)

📍
Updated Business Mailing Address February 08, 2021

Registered at 81 VERONICA AVE STE 205, SOMERSET, NJ 088733491 (Tel: 7326405316)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2021

Surgery (License #25MA10177100 in NJ)

NPI Profile Active June 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2017

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442009)

📍
Updated Business Mailing Address June 05, 2017

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442009)

👤
Provider Name / Credentials Updated June 05, 2017

Recorded as HEATH ANTOINE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2017

Surgery (License #35129604 in OH)

NPI Profile Active May 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442009)

📍
Updated Business Mailing Address May 04, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442009)

👤
Provider Name / Credentials Updated May 04, 2016

Recorded as HEATH ANTOINE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2016

Surgery (License #4301099228 in MI)

🟢
Initial NPI Registration & Enumeration June 23, 2011

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: 1265728638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2011
Last Update: February 08, 2021
Sole Proprietor: No

Mailing Address

81 Veronica Ave Ste 205

Somerset, NJ 088733491

Phone: 7326405316

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.