DR. DAVID MICHAEL HEFNER D.O.
NPI 1013114610
Family Medicine in Fairmont, WV
About Dr. David Michael Hefner D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID MICHAEL HEFNER D.O. (NPI 1013114610) is an individual family medicine provider in Fairmont, West Virginia, licensed in West Virginia (2341) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. David Michael Hefner D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
8Medicare enrollment records show David Hefner reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairmont, WV 26554
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: Urgent Care Inc - West Virginia
- 47 clinicians in this Medicare group
White Hall, WV 26554
- Reassigned Medicare billing, West Virginia enrollment
- 441 clinicians in this Medicare group
Bridgeport, WV 26330
- Reassigned Medicare billing, West Virginia and Pennsylvania enrollments
- Medicare enrollment name: West Virginia University Medical Corporation
- Also billed through NPI 1275504508 (Pennsylvania)
- 2,471 clinicians in this Medicare group
Masontown, PA 15461
- Reassigned Medicare billing, Pennsylvania enrollment
- 398 clinicians in this Medicare group
Waynesburg, PA 15370
- Reassigned Medicare billing, Pennsylvania enrollment
- 214 clinicians in this Medicare group
Woodstock, VA 22664
- Reassigned Medicare billing, Virginia enrollment
- 156 clinicians in this Medicare group
Jacksonville, FL 32277
- Reassigned Medicare billing, Florida enrollment
- 96 clinicians in this Medicare group
Beaumont, TX 77701
- Reassigned Medicare billing, Texas enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRMONT, WV 26554
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Hefner's NPI number?
The NPI number for David Hefner is 1013114610. It was assigned to this individual provider in the NPPES registry on June 28, 2007.
Where is David Hefner located?
David Hefner practices at 100 Stoney Hill Rd, Fairmont, WV 26554. The listed phone number is (304) 599-2273.
What is David Hefner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Hefner enrolled in Medicare?
Yes. David Hefner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Hefner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Hefner reassigns Medicare benefits to 8 organizations: Medexpress Urgent Care, Inc. - West Virginia (Fairmont, WV), United Hospital Center, Inc. (White Hall, WV), Wvu Medical Corporation (Bridgeport, WV), Fayette Physician Network Inc (Masontown, PA), Medexpress Urgent Care, PC - Pennsylvania (Waynesburg, PA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hefner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Hefner accept?
Health plans from CareSource and Molina Healthcare list David Hefner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is David Hefner affiliated with any hospitals?
According to CMS data, David Hefner is affiliated with West Virginia University Hospitals, Inc.
When was this NPI record last updated?
The NPPES record for David Hefner was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. David Michael Hefner, D.O. · NPI 1013114610
Family Medicine physician in Fairmont, West Virginia. Individual provider, active in the CMS NPPES registry since June 28, 2007.
## Identity
- **NPI:** 1013114610 (Entity type: Individual)
- **Enumerated:** June 28, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2341 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 STONEY HILL RD, Fairmont, WV 26554-1589
- **Phone:** (304) 599-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Medexpress Urgent Care, Inc. - West Virginia (NPI 1801173653, Fairmont, WV); United Hospital Center, Inc. (NPI 1194269589, White Hall, WV); Wvu Medical Corporation (NPI 1245625581, Bridgeport, WV); Fayette Physician Network Inc (NPI 1780086967, Masontown, PA); Medexpress Urgent Care, PC - Pennsylvania (NPI 1083017404, Waynesburg, PA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** May 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013114610) · Data from the CMS NPPES public registry.