Active NPI 1912483603 Individual Practitioner Female Practitioner

Heather Marie Macphail , NP

Nurse Practitioner • Albany, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heather Macphail, NP is a certified Nurse Practitioner practicing in Albany, NY. With approximately 8 years of clinical experience since completing medical education in 2018, Heather Macphail delivers high-quality medical care to the local community at 2 PALISADES DR.

Heather Macphail is affiliated with St. Peter'S Health Partners Medical Associates, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, programming of dual lead pacemaker system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Palisades Dr

Albany, NY 122051438

Telephone 5184582000

Associated Practice Facility / Clinic

🏢 Prime Care Physicians, P.l.l.c. Facility NPI 1912127903

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Albany, NY

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -5.5 yrs vs City Avg

City Avg: 13.5 Yrs

State Avg: 13.6 Yrs

Regional Practice Density

81 Specialists

Practicing in Albany, NY (3155 Statewide)

Telehealth Adoption Rate

7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macphail (8 Years) 8 Yrs

Albany Specialty Average (13.5 Years) 13.5 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
93000 Routine ekg using at least 12 leads including interpretation and report	191	183	$36.18	$11.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	153	$291.59	$103.53
93280 Programming of dual lead pacemaker system	62	59	$166.26	$62.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	37	$259.37	$95.19
93290 Evaluation of implantable heart and blood vessel monitoring system	49	43	$97.20	$37.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	44	$355.66	$145.49
93284 Programming of multiple lead implantable defibrillator system	21	19	$225.43	$84.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$395.50	$134.77
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$212.50	$73.31
93282 Programming of single lead implantable defibrillator system	14	12	$166.29	$63.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	208	203	$38.00	$11.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	142	$326.31	$146.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	108	$229.91	$105.18
93280 Programming of dual lead pacemaker system	70	65	$114.00	$66.28
93290 Evaluation of implantable heart and blood vessel monitoring system	58	52	$62.00	$39.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	38	$220.00	$98.98
93284 Programming of multiple lead implantable defibrillator system	25	22	$178.00	$86.27
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$174.29	$74.86
93282 Programming of single lead implantable defibrillator system	12	11	$124.00	$63.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$367.00	$137.95
93283 Programming of dual lead implantable defibrillator system	11	11	$161.00	$82.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	135	132	$36.33	$11.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	88	$214.38	$107.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	58	$212.07	$85.39
93280 Programming of dual lead pacemaker system	74	71	$114.00	$69.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	55	$304.71	$147.00
93290 Evaluation of implantable heart and blood vessel monitoring system	54	44	$62.00	$39.88
93282 Programming of single lead implantable defibrillator system	22	20	$124.00	$69.66
93284 Programming of multiple lead implantable defibrillator system	20	15	$178.00	$91.80
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	14	14	$98.00	$58.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93280 Programming of dual lead pacemaker system	115	104	$113.67	$66.12
93000 Routine ekg using at least 12 leads including interpretation and report	108	103	$33.00	$12.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	84	63	$205.00	$84.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	75	$210.00	$109.59
93290 Evaluation of implantable heart and blood vessel monitoring system	55	50	$62.00	$39.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	38	$283.00	$150.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	30	$142.00	$56.99
93284 Programming of multiple lead implantable defibrillator system	36	33	$178.00	$89.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$320.00	$132.15
93279 Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report	11	11	$98.00	$56.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	79	77	$33.00	$13.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	74	$210.00	$87.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	33	$142.00	$60.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	33	$205.00	$82.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$283.00	$120.93
93280 Programming of dual lead pacemaker system	17	17	$114.00	$60.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$77.00	$32.83
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$142.00	$59.18
93290 Evaluation of implantable heart and blood vessel monitoring system	12	12	$62.00	$34.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	112	$142.00	$58.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	50	$205.00	$85.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	42	$210.00	$88.85
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$33.00	$13.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$283.00	$115.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$142.00	$59.96

Medical Specialties & State Licenses

CMS Verified: 2021-05-21

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 343008

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NY 343008

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

05351813 (NY)

Hospital & Practice Group Affiliations

St. Peter's Health Partners Medical Associates, P.c.

2 New Hampshire Ave, Troy, NY 121801762

Phone: 5184852000

Secondary Practice Locations

855 Route 146

Clifton Park, NY 120653885

Phone: 5184582000

156 Quaker Rd

Queensbury, NY 128041718

Phone: 5184582000

2 New Hampshire Ave Ste 200

Troy, NY 121801762

Phone: 5184582000

1735 Route 9

Halfmoon, NY 120652421

Phone: 5184582000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Lavanya Alapati , MD

Internal Medicine - Cardiovascular Disease

NPI 1033364393

Doctor of Medicine (M.D.)

Benjamin Piemont , ACNP

Nurse Practitioner - Acute Care

NPI 1033886726

Kimberly Conlon , FNP-BC

Nurse Practitioner - Family

NPI 1033994090

Family Nurse Practitioner (Board Certified)

Marah El Negomi , PA

Physician Assistant

NPI 1053259549

Physician Assistant

Rachel Marchand , RPA-C

Physician Assistant - Medical

NPI 1053608893

RPAC

Dr. Alfonso Prieto , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1063411783

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2021

Nurse Practitioner (License #343008 in NY)

👤

Provider Name / Credentials Updated November 10, 2020

Recorded as HEATHER MACPHAIL, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Nurse Practitioner (License #343008 in NY)

👤

Provider Name / Credentials Updated April 23, 2019

Recorded as HEATHER MACPHAIL, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2019

Nurse Practitioner (License #343008 in NY)

✅

NPI Profile Active July 16, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2018

Registered at 2 PALISADES DR, ALBANY, NY 122051438 (Tel: 5184582000)

📍

Updated Business Mailing Address July 16, 2018

Registered at PO BOX 14890, ALBANY, NY 122124890 (Tel: 5185255634)

👤

Provider Name / Credentials Updated July 16, 2018

Recorded as HEATHER RIORDAN, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2018

Nurse Practitioner (License #343008 in NY)

🟢

Initial NPI Registration & Enumeration July 16, 2018

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: 1912483603

Entity Type:

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

Enumeration Date: July 16, 2018

Last Update: May 21, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 14890

Albany, NY 122124890

Phone: 5185255634

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.