DR. ALAN B HEFNER M.D.
NPI 1962561282
Ophthalmology in St Charles, IL

Active since December 06, 2006PECOS Enrolled
40W330 LAFOX RD, ST CHARLES, IL 60175(630) 584-9850(630) 584-1523 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Alan B Hefner M.d. NPPES

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

DR. ALAN B HEFNER M.D. (NPI 1962561282) is an individual ophthalmology provider in St Charles, Illinois and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962561282
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALAN B HEFNERCredential: M.D.
Location Address40W330 LAFOX RDSt Charles, IL 60175-6515
Mailing Address40w330 Lafox RdSt Charles, IL 60175-6515 · (630) 584-9850 · Fax (630) 584-1523
Fax(630) 584-1523
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 15, 2008
✔ NPI 1962561282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
40W330 LAFOX RD, St Charles, IL 60175

Other Identifiers 6

Other1129551IL · United Healthcare
Medicare ID-Type UnspecifiedL04585IL
Medicare UPINC39585IL
Medicaid36047324IL
Medicare NSC0151380001IL
Other4519570IL · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alan B Hefner M.d. 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 Alan Hefner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
40W330 LAFOX ROAD
St. Charles, IL 60175
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group

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 60175 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Ophthalmology
40W330 LAFOX RD, SUITE A
ST CHARLES, IL 60175
Ophthalmology
40W330 LAFOX RD
ST CHARLES, IL 60175
Ophthalmology
40W330 LAFOX RD, SUITE A
ST CHARLES, IL 60175

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 Alan Hefner's NPI number?

The NPI number for Alan Hefner is 1962561282. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Alan Hefner located?

Alan Hefner practices at 40w330 Lafox Rd, St Charles, IL 60175. The listed phone number is (630) 584-9850.

What is Alan Hefner's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Alan Hefner enrolled in Medicare?

Yes. Alan Hefner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alan Hefner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alan Hefner reassigns Medicare benefits to Fox Valley Ophthalmology (St. Charles, IL). 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 Alan Hefner'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 Alan Hefner was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.