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J MICHAEL HEFFERNAN MD
NPI 1700854957
Internal Medicine in Wyomissing, PA

Active since March 14, 2006PECOS Enrolled
950 N WYOMISSING BLVD, SUITE A, WYOMISSING, PA 19610(610) 898-2400(610) 376-5861 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About J Michael Heffernan Md NPPES

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

J MICHAEL HEFFERNAN MD (NPI 1700854957) is an individual internal medicine provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD030004E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700854957
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJ MICHAEL HEFFERNANCredential: MD
Location Address950 N WYOMISSING BLVD, SUITE AWyomissing, PA 19610-1784
Mailing Address50 Commerce DrWyomissing, PA 19610-3335 · (610) 372-8044 · Fax (484) 334-7026
Phone(610) 898-2400
Fax(610) 376-5861
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 19, 2011
✔ NPI 1700854957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD030004E
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.
950 N WYOMISSING BLVD, Wyomissing, PA 19610
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Other Identifiers 3

Medicaid0011482470001PA
Medicare UPINB96744
Medicare ID-Type Unspecified044166FHL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Michael Heffernan Md 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.

Medicare Billing Reassignment

Medicare enrollment records show J Heffernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tower Health Medical Group
0.1 mi
Dermatology
1001 REED AVE STE 402
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1295150035 (484) 628-7590

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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…
26%311 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
26%31 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 96% · 51 patients
96%54 patients
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.

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 J Heffernan's NPI number?

The NPI number for J Heffernan is 1700854957. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is J Heffernan located?

J Heffernan practices at 950 N Wyomissing Blvd Suite A, Wyomissing, PA 19610. The listed phone number is (610) 898-2400.

What is J Heffernan's specialty?

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

Is J Heffernan enrolled in Medicare?

Yes. J Heffernan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for J Heffernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J Heffernan reassigns Medicare benefits to Tower Health Medical Group (Wyomissing, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J Heffernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J Heffernan was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.