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DR. BENJAMIN DAVID HEFNER D.O.
NPI 1508244732
Physical Medicine & Rehabilitation in New Orleans, LA

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1401 FOUCHER ST STE M1005, NEW ORLEANS, LA 70115(504) 897-8543(504) 897-8726 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin David Hefner D.o. NPPES

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

DR. BENJAMIN DAVID HEFNER D.O. (NPI 1508244732) is an individual physical medicine & rehabilitation provider in New Orleans, Louisiana, licensed in Louisiana (308770) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1508244732
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. BENJAMIN DAVID HEFNERCredential: D.O.
Location Address1401 FOUCHER ST STE M1005New Orleans, LA 70115-3515
Mailing Address1401 Foucher St Ste M1005New Orleans, LA 70115-3515 · (504) 897-8543 · Fax (504) 897-8726
Phone(504) 897-8543
Fax(504) 897-8726
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 7, 2015
Last NPPES UpdateMay 7, 2019
✔ NPI 1508244732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in LA · 308770
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1401 FOUCHER ST STE M1005, New Orleans, LA 70115
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Secondary Practice Location 1

Location 11542 Tulane Ave, Box T4M-2New Orleans, LA 70112-2865 · Phone (504) 568-2577 · Fax (504) 568-2127

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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. Benjamin David Hefner D.o. 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 ID749562197
PECOS Enrollment IDI20190531000759
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.
420 services72 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.
83 services45 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.
81 services26 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.
48 services34 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.
31 services30 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers34 claims34 services$7.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$42.15 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
2 suppliers21 claims27 services$2.21 avg. paid by Medicare
Wheelchair accessory, positioning belt/safety belt/pelvic strap, each E0978
DME-Wheelchairs · category DD021N
1 supplier16 claims16 services$1.82 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers45 claims52 services$18.28 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$34.59 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 Benjamin Hefner's NPI number?

The NPI number for Benjamin Hefner is 1508244732. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Benjamin Hefner located?

Benjamin Hefner practices at 1401 Foucher St Ste M1005, New Orleans, LA 70115. The listed phone number is (504) 897-8543.

What is Benjamin Hefner's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Benjamin Hefner enrolled in Medicare?

Yes. Benjamin Hefner 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 Benjamin Hefner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Benjamin Hefner 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 Benjamin Hefner affiliated with any hospitals?

According to CMS data, Benjamin Hefner is affiliated with University Medical Center New Orleans and Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Benjamin Hefner was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.