CAROLYN HEINS
NPI 1447604202
Family Medicine in Albany, NY

NPI Status: Active since April 19, 2016

Contact Information

391 MYRTLE AVE STE 4A
ALBANY, NY
ZIP 12208
Phone: (518) 207-2273
Fax: (518) 207-2293

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  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About CAROLYN HEINS

This page provides the complete NPI Profile along with additional information for Carolyn Heins, a primary care provider established in Albany, New York with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1447604202 assigned on April 2016. The practitioner's primary taxonomy code is 207Q00000X with license number 299061 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1447604202
Provider Name
CAROLYN HEINS
Other Name
CAROLYN ELLSWORTH
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
391 MYRTLE AVE STE 4A ALBANY, NY 12208
Location Phone
(518) 207-2273
Location Fax
(518) 207-2293
Mailing Address
711 TROY SCHENECTADY RD STE 203 LATHAM, NY 12110
Mailing Phone
(518) 782-3700
Mailing Fax
(518) 207-2293
Is Sole Proprietor?
No
Enumeration Date
04-19-2016
Last Update Date
05-27-2021
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A primary care provider (PCP) like Carolyn Heins sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 600 Northern Blvd
    Albany, NY 12204
    (518) 471-3221
  • 2215 Burdett Ave
    Troy, NY 12180
    (518) 271-3300
  • 315 S Manning Blvd
    Albany, NY 12208
    (518) 525-1550

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
299061
License State
NY
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208M00000XAllopathic & Osteopathic Physicians

Hospitalist

299061 (NY)

Medicare Participation & PECOS Enrollment Status

Carolyn Heins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 30 times for 16 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 160 times for 83 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 17 times for 11 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 29 times for 29 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 47 times for 45 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 13 times for 13 patients

Initial hospital observation care per day, typically 50 minutes

Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.

This service was performed 39 times for 38 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 12208 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for CAROLYN HEINS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447604202
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487120820
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 0 + 8 + 2 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1447604202 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881130722 DANIELLE M WOLF LMSW
Individual
Social Worker391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1861612814 BRIGID MACK M.D.
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1285895714 ANN ELIZABETH RUTTER MD
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1710481643 SUSANNAH LOUIS KRICKER MD
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1639638406 AMY CALLAHAN MCPHILLIPS DO
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 297-2273
1457063240 MICHELLE SUZANNE CERONE FNP-BC
Individual
Nurse Practitioner (Family)391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 202-2273
1194177394 KATIE ELLEN DUNNE PA-C
Individual
Physician Assistant391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 202-2273
1326724972 MEGAN NICOLE SANGER FNP-BC
Individual
Nurse Practitioner (Family)391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1588424139DR. ERIK EDWARD AUGSPURGER MD
Individual
Student in an Organized Health Care Education/Training Program391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 264-2866
1750129607 KAITLIN MUSTO FNP
Individual
Nurse Practitioner (Family)391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1972957769DR. BRYAN WILLIAM DWORSKY M.D.
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273
1346700663 LISA KAREN FLEISCHER MD
Individual
Family Medicine391 MYRTLE AVE STE 4A
ALBANY, NY 12208
(518) 207-2273

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447604202, enumerated in the NPI registry as an "individual" on April 19, 2016

The provider is located at 391 Myrtle Ave Ste 4a Albany, Ny 12208 and the phone number is (518) 207-2273

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, 30 minutes or less, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 50 minutes.

This NPI record was last updated on April 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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