DR. KELLY HEFFERON D.O.
NPI 1255474813
Internal Medicine - Geriatric Medicine in Southfield, MI

Q: What is Kelly Hefferon's NPI number?

The NPI number for Kelly Hefferon is 1255474813. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Kelly Hefferon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Hefferon was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 14, 2007PECOS Enrolled

21650 W 11 MILE RD STE 209, SOUTHFIELD, MI 48076(248) 809-9638(248) 809-9996 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kelly Hefferon D.o. NPPES

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

DR. KELLY HEFFERON D.O. (NPI 1255474813) is an individual geriatric medicine provider in Southfield, Michigan, licensed in Michigan (5101012396) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255474813

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameDR. KELLY HEFFERONCredential: D.O.

Location Address21650 W 11 MILE RD STE 209Southfield, MI 48076-3777

Mailing Address24567 Northwestern Hwy, Ste 150Southfield, MI 48075-2421 · (248) 799-0093

Phone(248) 809-9638

Fax(248) 809-9996

Sole ProprietorNo

Enumeration DateFebruary 14, 2007

Last NPPES UpdateNovember 7, 2019

✔ NPI 1255474813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MI · 5101012396

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

21650 W 11 MILE RD STE 209, Southfield, MI 48076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Hefferon D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 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

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

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

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers15 claims66 services$6.46 avg. paid by Medicare

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

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 Kelly Hefferon's NPI number?

The NPI number for Kelly Hefferon is 1255474813. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Kelly Hefferon located?

Kelly Hefferon practices at 21650 W 11 Mile Rd Ste 209, Southfield, MI 48076. The listed phone number is (248) 809-9638.

What is Kelly Hefferon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Kelly Hefferon enrolled in Medicare?

Yes. Kelly Hefferon is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Hefferon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Kelly Hefferon 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 Kelly Hefferon was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.