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DR. RYAN HEFFELFINGER MD
NPI 1154358117
Otolaryngology in Philadelphia, PA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
925 CHESTNUT ST, 6TH FLOOR, PHILADELPHIA, PA 19107(215) 955-6760(215) 955-7503 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Heffelfinger Md NPPES

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

DR. RYAN HEFFELFINGER MD (NPI 1154358117) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD420668) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1154358117
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RYAN HEFFELFINGERCredential: MD
Location Address925 CHESTNUT ST, 6TH FLOORPhiladelphia, PA 19107-4216
Mailing Address925 Chestnut St, 6th FloorPhiladelphia, PA 19107-4216
Phone(215) 955-6760
Fax(215) 955-7503
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateJune 27, 2006
Last NPPES UpdateMarch 24, 2015
✔ NPI 1154358117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD420668
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License MD420668 (PA)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License MD420668 (PA)
925 CHESTNUT ST, Philadelphia, PA 19107
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Other Identifiers 4

Medicaid0106330NJ
Medicare PIN101863PA
Medicaid101661900PA
Medicare UPINI44657

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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. Ryan Heffelfinger Md 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 ID5799703021
PECOS Enrollment IDI20060727000206
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 6

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 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.
72 services51 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
35 services29 patients
Injection of chemical for paralysis of nerve muscles on side of face 64612
This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.
33 services18 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.
32 services30 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.
27 services27 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 20

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

DR. MATTHEW DECARO M.D.
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050
DR. MANISH SHARMA MD
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
MS. ELEANOR LYNN VANDERKLOK CRNP
Nurse Practitioner (Adult Health)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8874
LEANNE MCKEOWN PA-C
Physician Assistant
925 CHESTNUT ST, FIFTH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500
WILLIAM KEVIN KELLY DO
Internal Medicine (Medical Oncology)
925 CHESTNUT ST, SUITE 320A
PHILADELPHIA, PA 19107
Philadelphia County (215) 995-8874
DR. MARC R. ROSEN M.D.
Otolaryngology
925 CHESTNUT ST, 6TH FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6760
ANDREW B NEWBERG MD
Nuclear Medicine
925 CHESTNUT ST, SUITE 120
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3422
DR. HOWARD H. WEITZ M.D.
Internal Medicine (Cardiovascular Disease)
925 CHESTNUT ST, MEZZANINE FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5050

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 Ryan Heffelfinger's NPI number?

The NPI number for Ryan Heffelfinger is 1154358117. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ryan Heffelfinger located?

Ryan Heffelfinger practices at 925 Chestnut St 6th Floor, Philadelphia, PA 19107. The listed phone number is (215) 955-6760.

What is Ryan Heffelfinger's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ryan Heffelfinger enrolled in Medicare?

Yes. Ryan Heffelfinger 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 Ryan Heffelfinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan Heffelfinger 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 Ryan Heffelfinger affiliated with any hospitals?

According to CMS data, Ryan Heffelfinger is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Heffelfinger was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.