Active NPI 1043242522 Individual Practitioner Female Practitioner

Abby C Hefner , ARNP

Nurse Practitioner • La Grange, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Abby Hefner, ARNP is a certified Nurse Practitioner practicing in La Grange, KY. With approximately 22 years of clinical experience since completing medical education in 2004, Abby Hefner delivers high-quality medical care to the local community at 1023 NEW MOODY LN STE 201.

Abby Hefner maintains professional affiliations with Pt Pros, Inc, Baptist Health Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1023 New Moody Ln Ste 201

La Grange, KY 400319181

Telephone 5022255520

Associated Practice Facility / Clinic

🏢 Baptist Health Deaconess Medical Group Inc Facility NPI 1457480949

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in La Grange, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +7.0 yrs vs City Avg

City Avg: 15.0 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

9 Specialists

Practicing in La Grange, KY (1865 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hefner (22 Years) 22 Yrs

La Grange Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

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	408	179	$243.00	$103.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$248.00	$104.57
99213 Established patient office or other outpatient visit, typically 15 minutes	108	81	$172.00	$73.29
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	94	78	$31.00	$13.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	13	$40.00	$11.50
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	43	13	$9.00	$1.24
90662 Influenza vaccine split virus, preservative free	39	39	$165.97	$79.21
81003 Automated urinalysis test	39	27	$8.00	$2.20
G0008 Administration of influenza virus vaccine	39	39	$60.85	$29.43
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$37.00	$11.49
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	25	24	$75.00	$34.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$34.00	$16.22
82044 Urine microalbumin (protein) analysis	21	21	$13.00	$5.82
99495 Transitional care management services for problem of at least moderate complexity	21	18	$388.00	$160.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$318.00	$136.28

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	378	150	$243.00	$102.08
99213 Established patient office or other outpatient visit, typically 15 minutes	144	93	$172.00	$71.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$248.00	$103.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	19	$40.00	$11.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	15	$9.00	$1.52
G0008 Administration of influenza virus vaccine	48	48	$58.00	$28.60
81003 Automated urinalysis test	45	29	$8.00	$2.05
90662 Influenza vaccine split virus, preservative free	45	45	$147.00	$71.93
82044 Urine microalbumin (protein) analysis	29	29	$13.00	$6.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	26	26	$530.00	$280.47
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$37.00	$11.45
G0009 Administration of pneumococcal vaccine	24	24	$56.00	$28.60
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	18	$75.00	$34.62
99495 Transitional care management services for problem of at least moderate complexity	11	11	$388.00	$152.67

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	332	148	$212.00	$101.49
99213 Established patient office or other outpatient visit, typically 15 minutes	175	110	$150.40	$71.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$230.93	$104.83
81003 Automated urinalysis test	43	32	$7.30	$2.12
G0008 Administration of influenza virus vaccine	39	39	$56.00	$26.25
90662 Influenza vaccine split virus, preservative free	35	35	$140.00	$66.58
G0009 Administration of pneumococcal vaccine	25	25	$46.64	$27.06
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$500.91	$278.44
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$37.00	$11.42
82044 Urine microalbumin (protein) analysis	20	20	$13.70	$5.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$89.06	$45.19
99495 Transitional care management services for problem of at least moderate complexity	16	16	$342.63	$165.66

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	340	150	$202.00	$105.04
99213 Established patient office or other outpatient visit, typically 15 minutes	141	95	$137.00	$73.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$219.00	$106.68
81003 Automated urinalysis test	56	44	$7.00	$2.17
G0008 Administration of influenza virus vaccine	38	38	$38.00	$15.62
90662 Influenza vaccine split virus, preservative free	38	38	$112.00	$65.26
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$37.00	$11.83
82044 Urine microalbumin (protein) analysis	23	23	$14.00	$6.23

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	291	130	$202.00	$87.02
99213 Established patient office or other outpatient visit, typically 15 minutes	165	111	$137.00	$59.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$219.00	$92.82
81003 Automated urinalysis test	59	48	$6.31	$2.24
G0008 Administration of influenza virus vaccine	45	45	$38.00	$15.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	15	$38.49	$11.46
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	12	$8.00	$1.93
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$36.26	$13.62
82044 Urine microalbumin (protein) analysis	30	29	$14.00	$6.20
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$122.00	$61.00
G0009 Administration of pneumococcal vaccine	17	17	$38.00	$15.53
90653 Vaccine for influenza for injection into muscle	15	15	$119.00	$59.53
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$215.00	$118.69

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	324	128	$202.00	$85.94
99213 Established patient office or other outpatient visit, typically 15 minutes	210	114	$137.00	$58.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	22	$38.00	$12.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$219.00	$90.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	16	$8.00	$1.75
81003 Automated urinalysis test	70	48	$6.00	$2.41
G0008 Administration of influenza virus vaccine	41	41	$38.00	$15.31
82044 Urine microalbumin (protein) analysis	33	33	$14.00	$5.95
90653 Vaccine for influenza for injection into muscle	33	33	$119.00	$58.34
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$36.00	$13.48
G0009 Administration of pneumococcal vaccine	26	26	$38.00	$15.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$215.00	$111.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$82.00	$35.83

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	301	115	$202.65	$84.13
99213 Established patient office or other outpatient visit, typically 15 minutes	196	125	$136.32	$57.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	143	35	$43.37	$15.79
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	114	22	$7.30	$1.97
81003 Automated urinalysis test	88	57	$6.74	$2.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	85	85	$218.31	$91.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	13	$4.24	$1.72
G0008 Administration of influenza virus vaccine	45	45	$38.18	$18.29
90662 Influenza vaccine split virus, preservative free	45	45	$97.42	$52.30
G0009 Administration of pneumococcal vaccine	40	40	$43.60	$18.22
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$32.74	$13.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	18	$32.00	$16.22
82044 Urine microalbumin (protein) analysis	29	29	$13.17	$6.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$174.96	$101.82
90471 Administration of 1 vaccine	17	17	$43.18	$16.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$81.27	$34.67
90670 Pneumococcal vaccine for injection into muscle	15	15	$342.00	$195.31
94664 Evaluation of use of breathing device	14	12	$31.00	$13.01

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	306	122	$203.00	$82.56
99213 Established patient office or other outpatient visit, typically 15 minutes	184	109	$136.00	$57.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	31	$46.00	$19.57
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	120	24	$7.00	$2.95
81003 Automated urinalysis test	55	39	$7.00	$2.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$218.00	$91.26
G0008 Administration of influenza virus vaccine	30	30	$46.00	$22.90
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$32.00	$13.29
G0009 Administration of pneumococcal vaccine	24	24	$46.00	$22.90
82044 Urine microalbumin (protein) analysis	20	19	$13.00	$6.15
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	18	18	$33.00	$17.34
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$156.00	$96.29
83036 Hemoglobin A1C level	15	12	$27.00	$13.05
90471 Administration of 1 vaccine	14	14	$46.00	$19.59
90662 Influenza vaccine split virus, preservative free	13	13	$85.00	$48.05
94664 Evaluation of use of breathing device	12	12	$31.00	$12.93

Medical Specialties & State Licenses

CMS Verified: 2020-12-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 4406P

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

78013554 (KY)

Commercial Insurance / Payer ID Passport

50024362 (KY)

Commercial Insurance / Payer ID Passport Advantage

3722092000 (KY)

Hospital & Practice Group Affiliations

Pt Pros, Inc

4031 N Dixie Hwy, Elizabethtown, KY 427017873

Phone: 2709824776

Baptist Health Medical Group Inc

1031 New Moody Ln, La Grange, KY 400319151

Baptist Health Medical Group Inc

1031 New Moody Lane, Lagrange, KY 400319151

Phone: 5027216008

Baptist Health Medical Group Inc

3900 Kresge Way, Louisville, KY 402074681

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Sarah Thayer , MD

Internal Medicine

NPI 1033484498

Doctor of Medicine (M.D.)

Dr. Robin Kindig , MD

Internal Medicine

NPI 1235270448

Doctor of Medicine (M.D.)

Dr. Katherine Jett , MD

Internal Medicine

NPI 1801917570

Doctor of Medicine (M.D.)

Dr. Mary Manley , MD

Internal Medicine

NPI 1942732912

Doctor of Medicine (M.D.)

Allison Bowen , APRN

Nurse Practitioner - Family

NPI 1982730917

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 09, 2020

Registered at 1023 NEW MOODY LN STE 201, LA GRANGE, KY 400319181 (Tel: 5022255520)

📍

Updated Business Mailing Address December 09, 2020

Registered at 5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 402292182 (Tel: 5022534924)

✅

NPI Profile Active August 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 27, 2014

Registered at 1031 NEW MOODY LN, STE 300, LA GRANGE, KY 400319151 (Tel: 5022223312)

📍

Updated Business Mailing Address August 27, 2014

Registered at PO BOX 950248, LOUISVILLE, KY 402950248 (Tel: 5022382801)

👤

Provider Name / Credentials Updated August 27, 2014

Recorded as ABBY HEFNER, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2014

Nurse Practitioner (License #4406P in KY)

🟢

Initial NPI Registration & Enumeration July 07, 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: 1043242522

Entity Type:

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

Enumeration Date: July 07, 2006

Last Update: December 09, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5200 Commerce Crossings Dr Fl 3

Louisville, KY 402292182

Phone: 5022534924

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.