Active NPI 1962561282 Individual Practitioner Male Practitioner

Dr. Alan B Hefner , MD

Ophthalmology • St Charles, IL

Professional Overview & Biography Verified Profile Summary

Dr. Alan Hefner, MD is a registered healthcare professional specializing in Ophthalmology in St Charles, IL. Practice services are available at 40W330 LAFOX RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of retina, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

40w330 Lafox Rd

St Charles, IL 601756515

Telephone 6305849850

Fax 6305841523

Associated Practice Facility / Clinic

🏢 Fox Valley Ophthalmology Facility NPI 1528238854

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in St Charles, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

6 Specialists

Practicing in St Charles, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	154	$215.00	$115.81
99213 Established patient office or other outpatient visit, typically 15 minutes	64	59	$146.00	$80.06
92134 Imaging of retina	59	59	$100.00	$43.06
92083 Exam of visual field with extended testing	36	36	$250.00	$67.37
92133 Imaging of optic nerve	26	26	$100.00	$38.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$270.00	$175.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	974	955	$215.00	$115.15
99213 Established patient office or other outpatient visit, typically 15 minutes	390	306	$144.91	$78.78
92134 Imaging of retina	261	257	$100.00	$43.34
92083 Exam of visual field with extended testing	185	172	$250.00	$68.19
92133 Imaging of optic nerve	172	171	$100.00	$39.22
92012 Established patient problem focused exam of visual system	90	83	$166.64	$93.66
92014 Established patient complete exam of visual system	79	79	$215.00	$131.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$270.00	$175.55
92004 New patient complete exam of visual system	38	38	$269.11	$157.12
92225 Examination of eye by ophthalmoscope with retinal drawing	37	37	$77.03	$31.51
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$1165.22	$356.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$180.00	$115.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$124.25	$48.11
76514 Ultrasound scan of cornea to determine thickness	11	11	$68.18	$12.86
92002 New patient problem focused exam of visual system	11	11	$188.00	$89.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	907	891	$215.00	$112.69
99213 Established patient office or other outpatient visit, typically 15 minutes	422	320	$146.00	$76.55
92133 Imaging of optic nerve	192	191	$100.00	$38.89
92083 Exam of visual field with extended testing	188	176	$250.00	$67.58
92014 Established patient complete exam of visual system	174	174	$215.00	$130.44
92134 Imaging of retina	149	145	$100.00	$43.31
92012 Established patient problem focused exam of visual system	76	72	$167.00	$92.26
92004 New patient complete exam of visual system	72	72	$236.47	$156.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$236.61	$174.04
92225 Examination of eye by ophthalmoscope with retinal drawing	45	45	$76.67	$28.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	42	$125.00	$46.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$167.00	$114.49
66821 Removal of recurring cataract in lens capsule using a laser	26	22	$800.00	$349.93
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$15.36
67800 Removal of eyelid growth	13	13	$300.00	$135.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	717	715	$215.00	$128.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	475	471	$215.00	$112.83
99213 Established patient office or other outpatient visit, typically 15 minutes	276	218	$146.00	$76.01
92083 Exam of visual field with extended testing	197	182	$250.00	$67.34
92133 Imaging of optic nerve	189	187	$100.00	$38.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	136	$125.12	$45.45
92134 Imaging of retina	114	108	$100.00	$42.58
92004 New patient complete exam of visual system	83	83	$236.00	$153.64
92012 Established patient problem focused exam of visual system	64	59	$167.00	$88.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$167.00	$114.70
66821 Removal of recurring cataract in lens capsule using a laser	41	32	$800.00	$347.24
92225 Examination of eye by ophthalmoscope with retinal drawing	26	26	$77.88	$29.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$236.00	$173.67

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

36047324 (IL)

Commercial Insurance / Payer ID United Healthcare

1129551 (IL)

Commercial Insurance / Payer ID Bcbs

4519570 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Maria Pica , OD

Optometrist

NPI 1003975913

Doctor of Optometry

Dr. Eric Quartetti , MD

Ophthalmology

NPI 1104985159

Doctor of Medicine (M.D.)

Dr. Alexandria Halkias , OD

Optometrist

NPI 1336208016

Doctor of Optometry

Dr. Brian Heffelfinger , MD

Ophthalmology

NPI 1396804290

Doctor of Medicine (M.D.)

Dr. Christy Harvey , MD

Ophthalmology

NPI 1417390584

Doctor of Medicine (M.D.)

Dr. Lucas Wendel , MD

Ophthalmology

NPI 1427256601

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2008

Registered at 40W330 LAFOX RD, ST CHARLES, IL 601756515 (Tel: 6305849850)

📍

Updated Business Mailing Address April 15, 2008

Registered at 40W330 LAFOX RD, ST CHARLES, IL 601756515 (Tel: 6305849850)

👤

Provider Name / Credentials Updated April 15, 2008

Recorded as ALAN HEFNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2008

Ophthalmology

🟢

Initial NPI Registration & Enumeration December 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962561282

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 06, 2006

Last Update: April 15, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40w330 Lafox Rd

St Charles, IL 601756515

Phone: 6305849850

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.