Brian L Heffelfinger, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Practice address

40W330 Lafox Road
St. Charles, IL 60175

Phone

(630) 584-9850

Fax

(630) 584-1523

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Rush Medical College of Rush University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Valley OphthalmologyGroup PAC ID 6103710652, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

Merit-based Incentive Payment System (MIPS)

Final score

90.18 of 100Reported as group

Quality

97.93

Improvement activities

40

Cost

70.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blh@fvo.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Valley Ophthalmology

  • Ophthalmology Physician
  • St. Charles, IL
  • NPI 1518027994
  Medicare reassignment Care Compare group NPD
• Fox Valley Ophthalmology

  • Ophthalmology Physician
  • St Charles, IL
  • NPI 1528238854
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Hospital - Elgin LLC

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1922846351
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1396804290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX ROAD",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX ROAD",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4519570",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36097684",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2032261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Space, LLC
• Healthguard Medical Network SC
• Warren J. Heard Jr., PH.D.
• Heartland Counseling Center, Inc
• Genevieve Rose Hebeka, LCSW
• Patricia Christine Heffern, MSW, CADC
• Alan B Hefner, M.D.
• Ariana Heiger, DO
• Tracy Heilers, LMT
• Cheryl M Heilicser, CCC-SLP, BCBA

• Ophthalmology Physician in St. Charles, IL
• Providers in St. Charles, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.