DR. JOHN TIMOTHY HEFFERNAN M.D.
NPI 1972915627
Orthopaedic Surgery in Lakewood, WA
About Dr. John Timothy Heffernan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN TIMOTHY HEFFERNAN M.D. (NPI 1972915627) is an individual orthopaedic surgery provider in Lakewood, Washington, licensed in Washington (MD60968447) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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. John Timothy 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.
Medicare Billing Reassignment
Medicare enrollment records show John Heffernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, WA 98499
- Reassigned Medicare billing, Washington enrollment
- 589 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Clare Hospital
Acute Care Hospitals · Lakewood, WASt Joseph Medical Center
Acute Care Hospitals · Tacoma, WASt Anthony Hospital
Acute Care Hospitals · Gig Harbor, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
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 John Heffernan's NPI number?
The NPI number for John Heffernan is 1972915627. It was assigned to this individual provider in the NPPES registry on May 29, 2014.
Where is John Heffernan located?
John Heffernan practices at 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499. The listed phone number is (253) 582-7257.
What is John Heffernan's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is John Heffernan enrolled in Medicare?
Yes. John 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.
Which organization bills Medicare for John Heffernan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Heffernan reassigns Medicare benefits to Proliance Surgeons, Inc., P.S. (Lakewood, WA). 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 John Heffernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Heffernan accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John 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 John Heffernan affiliated with any hospitals?
According to CMS data, John Heffernan is affiliated with St Clare Hospital, St Joseph Medical Center and St Anthony Hospital.
When was this NPI record last updated?
The NPPES record for John Heffernan was last updated on August 14, 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.
# Dr. John Timothy Heffernan, M.D. · NPI 1972915627
Orthopaedic Surgery physician in Lakewood, Washington. Individual provider, active in the CMS NPPES registry since May 29, 2014.
## Identity
- **NPI:** 1972915627 (Entity type: Individual)
- **Enumerated:** May 29, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD60968447 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 7308 BRIDGEPORT WAY W STE 201, Lakewood, WA 98499-8000
- **Phone:** (253) 582-7257 · **Fax:** (253) 582-1617
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Proliance Surgeons, Inc., P.S. (NPI 1891799490, Lakewood, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** August 14, 2020
- **Other identifiers:** Medicaid 2154663 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1972915627) · Data from the CMS NPPES public registry.