DR. DEBRA NHUNG HEFNER D.O.
NPI 1720308570
Clinic/Center - Primary Care in Talihina, OK

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
1 CHOCTAW WAY, TALIHINA, OK 74571(918) 567-7140(918) 567-7113 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Debra Nhung Hefner D.o. NPPES

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

DR. DEBRA NHUNG HEFNER D.O. (NPI 1720308570) is an individual primary care provider in Talihina, Oklahoma, licensed in (5385) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1720308570
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameDR. DEBRA NHUNG HEFNERCredential: D.O.
Location Address1 CHOCTAW WAYTalihina, OK 74571-2022
Mailing Address1 Choctaw WayTalihina, OK 74571-2022 · (918) 567-7140 · Fax (918) 567-7113
Fax(918) 567-7113
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 3, 2010
Last NPPES UpdateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
NPI 1720308570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed · 5385
Also ListedFamily MedicineTaxonomy 207Q00000X · License OK-5385 (OK)
Also ListedClinic/Center · Public Health, FederalTaxonomy 261QP0904X
1 CHOCTAW WAY, Talihina, OK 74571

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. Debra Nhung 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 ID5991085805
PECOS Enrollment IDI20161212002118
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
86 services79 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services21 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
18 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74571 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

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.

Pharmacist
1 CHOCTAW WAY
TALIHINA, OK 74571
Pharmacist
1 CHOCTAW WAY
TALIHINA, OK 74571
Advanced Practice Midwife
1 CHOCTAW WAY
TALIHINA, OK 74571
Respiratory Therapist, Certified
1 CHOCTAW WAY
TALIHINA, OK 74571
Registered Nurse (Infection Control)
1 CHOCTAW WAY
TALIHINA, OK 74571
Physical Therapy Assistant
1 CHOCTAW WAY
TALIHINA, OK 74571
Physician Assistant
1 CHOCTAW WAY
TALIHINA, OK 74571
Specialist
1 CHOCTAW WAY
TALIHINA, OK 74571

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 Debra Hefner's NPI number?

The NPI number for Debra Hefner is 1720308570. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Debra Hefner located?

Debra Hefner practices at 1 Choctaw Way, Talihina, OK 74571. The listed phone number is (918) 567-7140.

What is Debra Hefner's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Debra Hefner enrolled in Medicare?

Yes. Debra 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 Debra Hefner accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Debra 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 Debra Hefner affiliated with any hospitals?

According to CMS data, Debra Hefner is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Debra Hefner was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.