JOHN T. HEFFERNAN M.D.
NPI 1093791121
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Tacoma, WA

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
502 S M ST, TACOMA, WA 98405(206) 212-2100(206) 212-2194 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2024, Jul 26, 2022, Jan 24, 2017 and 1 more (4 updates tracked since 2016).

About John T. Heffernan M.d. NPPES

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

JOHN T. HEFFERNAN M.D. (NPI 1093791121) is an individual ophthalmic plastic and reconstructive surgery provider in Tacoma, Washington, licensed in Washington (MD00016843) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of University Of Washington School Of Medicine (1977).

NPPES Registry Identity

NPI1093791121
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameJOHN T. HEFFERNANCredential: M.D.
Location Address502 S M STTacoma, WA 98405-3728
Mailing Address34719 6th Ave SFederal Way, WA 98003-8714 · (206) 212-2100 · Fax (206) 212-2194
Fax(206) 212-2194
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1977
Enumeration DateDecember 20, 2005
Last NPPES UpdateJanuary 3, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1093791121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in WA · MD00016843
Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License MD00016843 (WA)
502 S M ST, Tacoma, WA 98405

Other Names 1

Professional Name (2)J. Timothy Heffernan M.d.

Secondary Practice Location 1

Location 11101 Madison St, Suite 580Seattle, WA 98104-1306 · Phone (206) 215-2052 · Fax (206) 215-2280

Other Identifiers 4

Other3862HERegence Healthcare
Medicaid1777200WA
Other180016727Railroad Medicare
Other0036104WA · Labor & Industries

Accepted 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

John T. Heffernan M.d. 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 ID4981599313
PECOS Enrollment IDI20040607000975
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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
217 services158 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.
49 services42 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
25 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
19 services19 patients
Removal of growth of eyelid 67840
The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
14 services14 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers16 claims16 services$56.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
502 S M ST
TACOMA, WA 98405
Clinic/Center (Ambulatory Surgical)
502 S M ST
TACOMA, WA 98405
Nurse Anesthetist, Certified Registered
502 S M ST, SUITE 200
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405
Optometrist
502 S M ST
TACOMA, WA 98405
Ophthalmology
502 S M ST
TACOMA, WA 98405

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 John Heffernan's NPI number?

The NPI number for John Heffernan is 1093791121. It was assigned to this individual provider in the NPPES registry on December 20, 2005. The provider is also known as J. Timothy Heffernan M.D..

Where is John Heffernan located?

John Heffernan practices at 502 S M St, Tacoma, WA 98405. The listed phone number is (206) 212-2100.

What is John Heffernan's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is John Heffernan enrolled in Medicare?

Yes. John Heffernan 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 John Heffernan accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Heffernan 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.

When was this NPI record last updated?

The NPPES record for John Heffernan was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.