PAUL M. HEFFERNAN D.P.M.
NPI 1235247115
Podiatrist - Primary Podiatric Medicine in Cambridge, MA

Active since August 29, 2006PECOS Enrolled
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-3570(617) 665-3598 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul M. Heffernan D.p.m. NPPES

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

PAUL M. HEFFERNAN D.P.M. (NPI 1235247115) is an individual primary podiatric medicine provider in Cambridge, Massachusetts, licensed in Massachusetts (1866) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235247115
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NamePAUL M. HEFFERNANCredential: D.P.M.
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address65 Fayerweather StCambridge, MA 02138-3354 · (617) 491-0133
Fax(617) 665-3598
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235247115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MA · 1866
1493 CAMBRIDGE ST, Cambridge, MA 02139

Other Identifiers 3

Medicare UPINT58813
Medicare ID-Type UnspecifiedY70889
Medicaid0362786MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul M. Heffernan D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Paul Heffernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 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 5

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.

Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
151 services62 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
123 services51 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.
66 services42 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
49 services21 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
25 services13 patients

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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

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.

Speech-Language Pathologist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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 Paul Heffernan's NPI number?

The NPI number for Paul Heffernan is 1235247115. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Paul Heffernan located?

Paul Heffernan practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-3570.

What is Paul Heffernan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Paul Heffernan enrolled in Medicare?

Yes. Paul Heffernan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Heffernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Heffernan reassigns Medicare benefits to Cambridge Public Health Commission (Cambridge, MA). The 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 Paul Heffernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Heffernan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.