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DR. ANDREW TYLER HEFFERNAN M.D.
NPI 1851788749
Otolaryngology in Greenville, SC

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
115 HALTON VILLAGE CIR, GREENVILLE, SC 29607(229) 942-5646 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2020, Jun 4, 2020 (2 updates tracked since 2020).

About Dr. Andrew Tyler Heffernan M.d. NPPES

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

DR. ANDREW TYLER HEFFERNAN M.D. (NPI 1851788749) is an individual otolaryngology provider in Greenville, South Carolina, licensed in South Carolina (83652) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Francis-downtown, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1851788749
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANDREW TYLER HEFFERNANCredential: M.D.
Location Address115 HALTON VILLAGE CIRGreenville, SC 29607-6825
Mailing Address115 Halton Village CirGreenville, SC 29607-6825 · (229) 942-5646
Phone(229) 942-5646
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateJune 30, 20202 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1851788749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SC · 83652
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
115 HALTON VILLAGE CIR, Greenville, SC 29607
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Secondary Practice Location 1

Location 1450 W Princess Anne Rd, 312Norfolk, VA 23517-2135 · Phone (229) 942-5646

Other Identifiers 1

Other83652SC · Sc Permanent License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next 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. Andrew Tyler Heffernan M.d. 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 ID5799095535
PECOS Enrollment IDI20200819001852
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 11

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.
191 services153 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
184 services184 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
174 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
152 services114 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
104 services84 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
98 services73 patients

Hospital Affiliations CMS Care Compare

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

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29607 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANS T CARLSON MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
115 HALTON VILLAGE CIR
GREENVILLE, SC 29607
Greenville County (864) 281-9440
ST FRANCIS PHYSICIAN SERVICES INC
Otolaryngology
115 HALTON VILLAGE CIR
GREENVILLE, SC 29607
Greenville County (864) 281-9440
KIMBERLY LAWLER SCHNEIDER AUDIOLOGIST
Audiologist
115 HALTON VILLAGE CIR
GREENVILLE, SC 29607
Greenville County (864) 281-9440

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 Andrew Heffernan's NPI number?

The NPI number for Andrew Heffernan is 1851788749. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Andrew Heffernan located?

Andrew Heffernan practices at 115 Halton Village Cir, Greenville, SC 29607. The listed phone number is (229) 942-5646.

What is Andrew Heffernan's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Andrew Heffernan enrolled in Medicare?

Yes. Andrew Heffernan 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 Andrew Heffernan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Andrew Heffernan 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 Andrew Heffernan affiliated with any hospitals?

According to CMS data, Andrew Heffernan is affiliated with St Francis-Downtown.

When was this NPI record last updated?

The NPPES record for Andrew Heffernan was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.