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DR. TODD M HEFFERN M.D.
NPI 1891900601
Emergency Medicine in Grand Rapids, MI

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
100 MICHIGAN NE MC49, EMERGENCY MEDICINE RESIDENCY, GRAND RAPIDS, MI 49503(616) 391-3106 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Todd M Heffern M.d. NPPES

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

DR. TODD M HEFFERN M.D. (NPI 1891900601) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301088311) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2006).

NPPES Registry Identity

NPI1891900601
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TODD M HEFFERNCredential: M.D.
Location Address100 MICHIGAN NE MC49, EMERGENCY MEDICINE RESIDENCYGrand Rapids, MI 49503
Mailing Address5725 Sugarberry Dr SeKentwood, MI 49512-9410 · (616) 698-1226
Phone(616) 391-3106
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891900601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4301088311
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 MICHIGAN NE MC49, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Todd M Heffern 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 ID2062587934
PECOS Enrollment IDI20090626000336
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 Reassignments

3

Medicare enrollment records show Todd Heffern reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Emergency Physicians LLC
314 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Emergency Coverage, LLC
501 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
App Of Tennessee Ed, PLLC
506 mi
Emergency Medicine
907 E LAMAR ALEXANDER PKWY
Maryville, TN 37804
  • Reassigned Medicare billing, Tennessee enrollment
  • 390 clinicians in this Medicare group
NPI 1003230236 (865) 983-7211

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

Areas of Expertise CMS Part B claims 2

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 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.
39 services39 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Todd Heffern's NPI number?

The NPI number for Todd Heffern is 1891900601. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Todd Heffern located?

Todd Heffern practices at 100 Michigan NE Mc49 Emergency Medicine Residency, Grand Rapids, MI 49503. The listed phone number is (616) 391-3106.

What is Todd Heffern's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Todd Heffern enrolled in Medicare?

Yes. Todd Heffern 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.

Which organizations bill Medicare for Todd Heffern's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Heffern reassigns Medicare benefits to 3 organizations: Southeastern Emergency Physicians LLC (Maysville, KY), Emergency Coverage, LLC (Newport, TN) and App Of Tennessee Ed, PLLC (Maryville, TN). Each 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 Todd Heffern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Todd Heffern affiliated with any hospitals?

According to CMS data, Todd Heffern is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Todd Heffern was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.