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ROBERT W HEFFERNAN MD
NPI 1255892790
Hospitalist in Menomonee Falls, WI

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 532-1300 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert W Heffernan Md NPPES

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

ROBERT W HEFFERNAN MD (NPI 1255892790) is an individual hospitalist provider in Menomonee Falls, Wisconsin, licensed in Wisconsin (74064-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Medical College Of Wisconsin (2019).

NPPES Registry Identity

NPI1255892790
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameROBERT W HEFFERNANCredential: MD
Location AddressW180N8085 TOWN HALL RDMenomonee Falls, WI 53051-3518
Mailing AddressW180n8085 Town Hall RdMenomonee Falls, WI 53051-3518
Phone(262) 532-1300
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1255892790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 74064-20
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051
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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

Robert W Heffernan 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 ID3072926856
PECOS Enrollment IDI20220819002549
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
208 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
117 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
112 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services57 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services21 patients

Hospital Affiliations CMS Care Compare 4

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Froedtert Community Hospital

Acute Care Hospitals · New Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520213
Location4805 S Moorland RdNew Berlin, WI 53151 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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 20

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

DEBRA J CASPER NP
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3510
MR. ERIC J BACHAR R.PH.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
DANIEL WILLIAM FLANAGAN ACNPC-BC
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
ROCHELLE A SOHL MD
Obstetrics & Gynecology
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
MS. KRISTIN KRUGER SANDEN MS, CGC
Genetic Counselor, MS
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5080
SARAH GOERKE MS, RD, CDCES
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3644
AMMAR HAQ AA
Anesthesiologist Assistant
W180N8085 TOWN HALL RD, ANESTHESIOLOGY
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5100
JENNIFER AGUIRRE
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3638

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 Robert Heffernan's NPI number?

The NPI number for Robert Heffernan is 1255892790. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Robert Heffernan located?

Robert Heffernan practices at W180n8085 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 532-1300.

What is Robert Heffernan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Robert Heffernan enrolled in Medicare?

Yes. Robert 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.

Is Robert Heffernan affiliated with any hospitals?

According to CMS data, Robert Heffernan is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital, Froedtert Memorial Lutheran Hospital and Froedtert Community Hospital.

When was this NPI record last updated?

The NPPES record for Robert Heffernan was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.