JOSEPH W. HEFLIN MD
NPI 1447201447
Internal Medicine in Fernley, NV

Active since May 14, 2006PECOS EnrolledAccepts Medicare Assignment
9.22/100
CMS Quality Rating
35 WEST ST, FERNLEY, NV 89408(775) 391-9778(775) 737-9000 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph W. Heflin Md NPPES

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

JOSEPH W. HEFLIN MD (NPI 1447201447) is an individual internal medicine provider in Fernley, Nevada, licensed in Nevada (15218) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1447201447
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH W. HEFLINCredential: MD
Location Address35 WEST STFernley, NV 89408-7671
Mailing Address35 West StFernley, NV 89408-7671 · (775) 391-9778 · Fax (775) 376-9470
Fax(775) 737-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 14, 2006
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1447201447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NV · 15218 Licensed in FL · ME84716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
35 WEST ST, Fernley, NV 89408

Other Identifiers 1

Medicaid1447201447NV

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

Joseph W. Heflin 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 ID6406749381
PECOS Enrollment IDI20040204000855, I20140528001437
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 15

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
397 services174 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.
361 services60 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
344 services153 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
238 services72 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
132 services132 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
118 services86 patients

Hospital Affiliations CMS Care Compare 3

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290019
Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County
Emergency services Birthing friendly

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291313
Location801 East Williams AvenueFallon, NV 89406 · Churchill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89408 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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.

9.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost30.76

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%150 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier22 claims22 services$25.38 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier30 claims360 services$2.14 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier37 claims37 services$4.73 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier43 claims56 services$9.36 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier16 claims384 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier15 claims300 services$5.99 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

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

Internal Medicine
35 WEST ST
FERNLEY, NV 89408

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 Joseph Heflin's NPI number?

The NPI number for Joseph Heflin is 1447201447. It was assigned to this individual provider in the NPPES registry on May 14, 2006.

Where is Joseph Heflin located?

Joseph Heflin practices at 35 West St, Fernley, NV 89408. The listed phone number is (775) 391-9778.

What is Joseph Heflin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Heflin enrolled in Medicare?

Yes. Joseph Heflin 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 Joseph Heflin affiliated with any hospitals?

According to CMS data, Joseph Heflin is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center and Banner Churchill Community Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Heflin was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.