Heath Antoine, M.D.
Surgery Physician · Somerset, NJ
Heath Antoine, M.D. is a surgery physician with a practice address in Somerset, New Jersey, and NPI 1265728638, issued on Jun 23, 2011. Check the license (New Jersey 25MA10177100, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Heath Antoine
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 25MA10177100 NJ
4301099228 MI
35129604 OH
Self-reported in NPPES; status is on the state search - Practice location
- 81 Veronica Ave Ste 205, Somerset, NJ 08873
- Phone
- (732) 640-5316
- Enumerated
- Jun 23, 2011
- Record last updated
- Feb 8, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- 1265728638 MI
- Medicare enrollment
- Enrolled (PECOS I20220919003464); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 737 in New Jersey → Look up another NPI →
Also registered at 81 Veronica Ave Ste 205
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Derek BerglundSurgery Physician1235526591
- Michael Donaire, MDSurgery Physician1952740185
- Ashley Farhat-Sabet, MDSurgery Physician1427686195
- Keith KingSurgery Physician1275932766
- Siddharth Kudav, M.D.Surgery Physician1720373855
- Jennifer Pan, MDSurgery Physician1184207862
Verify Heath Antoine in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA10177100Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average surgery physician in 2024
46 Medicare Part D claims for 14 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Pantoprazole Sodium22 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $3,711.14
16 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Temple Faculty Practice Plan IncPhiladelphia, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heath Antoine among 737 surgery physician records in New Jersey
Heath Antoine, M.D. is one of 737 surgery physician records with a practice address in New Jersey. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 72% of them.
- NPI issued2011 · 72% of these records are older, 24% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2011 · median 2005 among the 445 with a school on file
- Record last updated2021 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 surgery physician records list a practice address in Somerset
They are 13 of the 1,061 NPPES records with a practice address in Somerset, and 737 surgery physician records in New Jersey.
All 737 in New Jersey → Every provider in Somerset → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Derek BerglundSomerset, NJ 088731235526591
- Andrew Camerota, MDSomerset, NJ 088731568460459
- Michael Donaire, MDSomerset, NJ 088731952740185
- Ashley Farhat-Sabet, MDSomerset, NJ 088731427686195
- Keith KingSomerset, NJ 088731275932766
- Siddharth Kudav, M.D.Somerset, NJ 088731720373855
- Lora Melman, MDSomerset, NJ 088731689792525
- Jennifer Pan, MDSomerset, NJ 088731184207862
Common questions
What is Heath Antoine, M.D.'s NPI number?
Heath Antoine, M.D.'s National Provider Identifier (NPI) is 1265728638, issued on Jun 23, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Heath Antoine, M.D. located?
The NPPES record lists a practice address at 81 Veronica Ave Ste 205, Somerset, NJ, 08873. Phone: (732) 640-5316. Providers update this record themselves, so call before visiting.
How can I verify Heath Antoine, M.D.'s license?
NPPES lists New Jersey license number 25MA10177100, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heath Antoine, M.D. prescribe under Medicare Part D?
In 2024, Heath Antoine, M.D. had 46 Medicare Part D claims for 14 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Heath Antoine, M.D.'s MIPS final score?
The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.