Heather Macadam, MD
NPI 1265411052 · Internal Medicine Physician · Aurora, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Macadam, MD is a Internal Medicine Physician provider in Aurora, NY (NPI 1265411052).
Provider details
- NPI number
- 1265411052
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 209196 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
6,597 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 700 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 657 | $121 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 459 | $16 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 419 | $13 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 309 | $8 |
| Blood Test, Thyroid Stimulating Hormone (tsh) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 146 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 436 | 136 |
| Levothyroxine Sodium | 371 | 92 |
| Amlodipine Besylate | 308 | 96 |
| Omeprazole | 226 | 62 |
| Gabapentin | 214 | 67 |
| Metoprolol Succinate | 205 | 72 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$806 across 45 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2008-05-12
Frequently asked questions
- What is Heather Macadam's NPI number?
- Heather Macadam's National Provider Identifier (NPI) is 1265411052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Macadam's specialty?
- Heather Macadam is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Macadam located?
- Heather Macadam's practice location on file with NPPES is 18 Wells Road, Aurora, NY 13026.
- What is Heather Macadam's phone number?
- The practice phone number listed in the NPPES registry for Heather Macadam is (315) 364-3388.
- Does Heather Macadam accept Medicare?
- Heather Macadam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Macadam's NPI active?
- Yes — Heather Macadam's NPI (1265411052) is active in the NPPES registry as of the last update on 2008-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.