DR. MICHAEL J HEJNA M.D., PHD.
NPI 1013913573
Orthopaedic Surgery in Riverside, IL

Q: What is Michael Hejna's NPI number?

The NPI number for Michael Hejna is 1013913573. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Michael Hejna's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hejna was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment

353 E BURLINGTON ST, STE 100, RIVERSIDE, IL 60546(708) 442-0221(708) 442-5670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Michael J Hejna M.d., Phd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL J HEJNA M.D., PHD. (NPI 1013913573) is an individual orthopaedic surgery provider in Riverside, Illinois, licensed in Illinois (036091139) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Macneal Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1013913573

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MICHAEL J HEJNACredential: M.D., PHD.

Location Address353 E BURLINGTON ST, STE 100Riverside, IL 60546-2082

Mailing Address353 E Burlington St, Ste 100Riverside, IL 60546-2082 · (708) 442-0221 · Fax (708) 442-5670

Phone(708) 442-0221

Fax(708) 442-5670

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJune 21, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013913573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036091139

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

353 E BURLINGTON ST, Riverside, IL 60546

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Other Identifiers 6

Medicare ID-Type UnspecifiedK00597IL

Other01633451IL · Blue Cross Blue Shield

OtherP00075953IL · Railroad Medicare

Other123175300IL · Us Department Of Labor

Medicaid036091139IL

Medicare UPING35833IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael J Hejna M.d., Phd. 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.

PECOS PAC ID4587654363

PECOS Enrollment IDI20101123000520

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,067 services131 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

407 services230 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

251 services141 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

242 services144 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

61 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

50 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

49 services49 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

47 services25 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

44 services35 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

43 services42 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

32 services31 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

26 services26 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

21 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Macneal Hospital

Acute Care Hospitals · Berwyn, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140054

Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County

Emergency services Birthing friendly

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140065

Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

97%226 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier11 claims11 services$68.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. NICOLAS S ANDERSON DPM

Podiatrist (Foot & Ankle Surgery)

353 E BURLINGTON ST, SUITE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

STACI MICHELLE VETROVSKY RD, LDN

Dietitian, Registered

353 E BURLINGTON ST, SUITE 202
RIVERSIDE, IL 60546

Cook County (708) 442-6006

ALAN D MOSES PA-C

Physician Assistant (Surgical)

353 E BURLINGTON ST, SUITE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

DR. SCOTT A SEYMOUR MD

Orthopaedic Surgery

353 E BURLINGTON ST, STE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

MICAELA CRUZ RBT

Behavior Technician

353 E BURLINGTON ST
RIVERSIDE, IL 60546

Cook County (708) 966-7352

JENNIFER KANG

Physician Assistant (Surgical)

353 E BURLINGTON ST, SUITE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

DR. ERLING HO MD

Orthopaedic Surgery

353 E BURLINGTON ST, SUITE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

ORTHOPAEDIC ASSOCIATES OF RIVERSIDE, PLLC

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

353 E BURLINGTON ST, SUITE 100
RIVERSIDE, IL 60546

Cook County (708) 442-0221

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 Michael Hejna's NPI number?

The NPI number for Michael Hejna is 1013913573. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Michael Hejna located?

Michael Hejna practices at 353 E Burlington St Ste 100, Riverside, IL 60546. The listed phone number is (708) 442-0221.

What is Michael Hejna's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Hejna enrolled in Medicare?

Yes. Michael Hejna 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.

What insurance does Michael Hejna accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Hejna 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 Michael Hejna affiliated with any hospitals?

According to CMS data, Michael Hejna is affiliated with Macneal Hospital and Adventist La Grange Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hejna was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.