DR. MICHAEL K HEHIR II MD
NPI 1609081058
Psychiatry & Neurology - Neurology in Burlington, VT

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-4589(802) 847-2461 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael K Hehir Ii Md NPPES

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

DR. MICHAEL K HEHIR II MD (NPI 1609081058) is an individual neurology provider in Burlington, Vermont, licensed in Vermont (042-0012198) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2005).

NPPES Registry Identity

NPI1609081058
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MICHAEL K HEHIR IICredential: MD
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-4589 · Fax (802) 847-2461
Fax(802) 847-2461
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2005
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 2, 2014
NPI 1609081058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in VT · 042-0012198
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X · License 042-0012198 (VT)
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 042-0012198 (VT)
111 COLCHESTER AVE, Burlington, VT 05401

Accepted 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. Michael K Hehir Ii 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 ID4183751811
PECOS Enrollment IDI20110808000624
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
185 services139 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services45 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
41 services39 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.
39 services23 patients
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.
34 services16 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
30 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$801.69 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.

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401

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 Michael Hehir's NPI number?

The NPI number for Michael Hehir is 1609081058. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Michael Hehir located?

Michael Hehir practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-4589.

What is Michael Hehir's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Hehir enrolled in Medicare?

Yes. Michael Hehir 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 Michael Hehir accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Hehir 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 Michael Hehir affiliated with any hospitals?

According to CMS data, Michael Hehir is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy, Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care and Northwestern Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Michael Hehir was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.