Dr. John Philip Heffernan , MD
Urology • Newport, RI
Professional Overview & Biography Verified Profile Summary
Dr. John Heffernan, MD is a certified Urology practicing in Newport, RI. With approximately 40 years of clinical experience since graduating from Georgetown University School Of Medicine in 1986, Dr. Heffernan delivers high-quality medical care to the local community at 38 POWEL AVE.
Dr. Heffernan is affiliated with Silver Spring Health Care Management 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, automated urinalysis test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
38 Powel Ave
Newport, RI 028402655
Medicare Profile & Education
Georgetown University School Of Medicine
1986
✓ Accepts Assignment
Telehealth Services Available
Specialty Benchmarks & Practice Insights
Comparative analytics for Urology in Newport, RI
Practicing in Newport, RI (71 Statewide)
✓ Offers Virtual Consultations
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
542 | 486 | $195.29 | $91.21 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
534 | 416 | $277.90 | $128.05 |
|
81003
Automated urinalysis test
|
502 | 435 | $4.26 | $2.19 |
|
51798
Ultrasound measurement of bladder capacity after voiding
|
236 | 214 | $24.37 | $11.41 |
|
52000
Diagnostic exam of bladder and urethra using an endoscope
|
111 | 88 | $530.05 | $240.61 |
|
51703
Complicated insertion of bladder tube
|
87 | 28 | $328.28 | $150.37 |
|
J9217
Leuprolide acetate (for depot suspension), 7.5 mg
|
85 | 18 | $441.00 | $178.75 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
78 | 78 | $359.05 | $167.46 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
78 | 11 | $31.74 | $14.47 |
|
51702
Simple insertion of temporary bladder tube
|
58 | 23 | $137.26 | $62.82 |
|
99231
Follow-up hospital inpatient care per day, typically 15 minutes
|
55 | 37 | $106.00 | $47.75 |
|
99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
|
54 | 48 | $50.89 | $23.54 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
50 | 48 | $279.64 | $129.12 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
43 | 32 | $170.42 | $76.13 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
33 | 31 | $196.55 | $91.32 |
|
96402
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
|
25 | 19 | $74.80 | $35.74 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
25 | 25 | $242.64 | $111.82 |
|
52332
Insertion of stent in urinary duct (ureter) using an endoscope
|
20 | 18 | $889.00 | $145.05 |
|
51701
Insertion of temporary bladder tube
|
15 | 11 | $97.33 | $44.59 |
|
76872
Ultrasound scan of pelvic region through rectum
|
15 | 15 | $69.07 | $32.23 |
|
52356
Crushing of stone of ureter with insertion of stent using an endoscope
|
12 | 12 | $880.33 | $402.05 |
|
55700
Biopsy of prostate gland
|
12 | 12 | $528.00 | $128.44 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Silver Spring Health Care Management Inc
70 Kenyon Ave, Wakefield, RI 028794253
Phone: 4017888780
Silver Spring Health Care Management Inc
38 Powel Ave, Newport, RI 028402655
Phone: 4017888780
Silver Spring Health Care Management Inc
3461 S County Trl, East Greenwich, RI 028181463
Phone: 4017888780
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Urology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 38 POWEL AVE, NEWPORT, RI 028402655 (Tel: 4018472418)
Registered at 38 POWEL AVE, NEWPORT, RI 028402655 (Tel: 4018472418)
Recorded as JOHN HEFFERNAN, M.D.
Urology (License #MD09513 in RI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
38 Powel Ave
Newport, RI 028402655
Phone: 4018472418
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