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JONATHAN ALLISTER HEFNER MD
NPI 1821037110
Hospitalist in Atlanta, GA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8000(404) 851-6325 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Mar 7, 2018, Aug 9, 2017 (3 updates tracked since 2017).

About Jonathan Allister Hefner Md NPPES

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

JONATHAN ALLISTER HEFNER MD (NPI 1821037110) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (058420) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Michigan State University College Of Human Medicine (2000).

NPPES Registry Identity

NPI1821037110
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJONATHAN ALLISTER HEFNERCredential: MD
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing Address1000 Johnson Ferry RdAtlanta, GA 30342-1606 · (404) 851-8000 · Fax (404) 851-6325
Phone(404) 851-8000
Fax(404) 851-6325
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2000
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1821037110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in GA · 058420✔ Licensed in TN · 0037924
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 37924 (TN)
1000 JOHNSON FERRY RD, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 12

Other2318844GA · Uhc
Other4119104TN · Blue Cross Blue Shield
Other52205825 001GA · Bcbs
Other10075404GA · Amerigroup
Other244807GA · Wellcare
Other1168583GA · Cigna
Medicaid372473269AGA
Medicaid372473269CGA
Medicaid372473269DGA
Medicaid3889851TN
Other7133613GA · Aetna
OtherP00408939GA · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jonathan Allister Hefner 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 ID7719946664
PECOS Enrollment IDI20070206000410
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.
462 services184 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.
64 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services26 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.
20 services15 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

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 supplier16 claims16 services$920.81 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.

SHELLEY S STATON PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 645-9181
TYREL FOSTER MD
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-6323
KEVIN DAVIS
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NICK TAHER M.D.
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 662-2438
TAYEB AHMAD RAHIM
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (678) 553-7784
KATHRYN LYNN DEAN NP
Nurse Practitioner
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Fulton County (404) 851-6500
VICKI DO
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 530-6646

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 Jonathan Hefner's NPI number?

The NPI number for Jonathan Hefner is 1821037110. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Jonathan Hefner located?

Jonathan Hefner practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Jonathan Hefner's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jonathan Hefner enrolled in Medicare?

Yes. Jonathan 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 Jonathan Hefner accept?

Health plans from Oscar Insurance Company list Jonathan 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 Jonathan Hefner affiliated with any hospitals?

According to CMS data, Jonathan Hefner is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Hefner was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.