Heather Clauss, MD
NPI 1114915014 · Infectious Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Clauss, MD is a Infectious Disease Physician provider in Philadelphia, PA (NPI 1114915014).
Provider details
- NPI number
- 1114915014
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD425978 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
54 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 29 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 25 | $133 |
Typical Medicare-allowed amounts for these services range $80–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2018-04-20
Frequently asked questions
- What is Heather Clauss's NPI number?
- Heather Clauss's National Provider Identifier (NPI) is 1114915014, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Clauss's specialty?
- Heather Clauss is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Clauss located?
- Heather Clauss's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5103.
- What is Heather Clauss's phone number?
- The practice phone number listed in the NPPES registry for Heather Clauss is (215) 707-3807.
- Does Heather Clauss accept Medicare?
- Heather Clauss is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Clauss's NPI active?
- Yes — Heather Clauss's NPI (1114915014) is active in the NPPES registry as of the last update on 2018-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.