DR. DONNA MARIE HEFFERNAN M.D. NPI 1003842287

NPI Details

DR. Donna Marie Heffernan, M.D. is a family medicine in Troy, NY with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Donna Marie Heffernan, M.D. NPI is 1003842287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2000

The provider's business location address is:

63 EAST RD
TROY, NY
ZIP 12180-860
Phone: (518) 346-3100
Fax: (877) 583-1284

The NPI 1003842287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
• Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
• Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Advance care planning, first 30 minutes (HCPCS:99497)
• Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
• Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Exam of neurobehavioral status, first hour (HCPCS:96116)
• Extended patient service without direct patient contact, first hour (HCPCS:99358)
• New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
• Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
• New patient home visit, typically 75 minutes (HCPCS:99345)
• Established patient home visit, typically 40 minutes (HCPCS:99349)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month (HCPCS:99437)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 2/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.