Donna Heffernan, M.D.
NPI 1003842287 · Family Medicine Physician · Troy, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donna Heffernan, M.D. is a Family Medicine Physician provider in Troy, NY (NPI 1003842287).
Provider details
- NPI number
- 1003842287
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2272751 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,254 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 317 | $175 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 287 | $59 |
| Chronic Care Management Services for Two Or More Chronic Conditions, First 30 Minutes Provided Personally By Health Care Professional, Per Calendar Month99491 | 85 | $81 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 69 | $45 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 65 | $145 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 111 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 341 | 54 |
| Atorvastatin Calcium | 296 | 60 |
| Apixabanbrand: Eliquis | 247 | 40 |
| Furosemide | 222 | 47 |
| Omeprazole | 219 | 48 |
| Amlodipine Besylate | 185 | 37 |
| Sertraline Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Donna Heffernan's NPI number?
- Donna Heffernan's National Provider Identifier (NPI) is 1003842287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donna Heffernan's specialty?
- Donna Heffernan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Donna Heffernan located?
- Donna Heffernan's practice location on file with NPPES is 63 East Rd, Troy, NY 12180-6860.
- What is Donna Heffernan's phone number?
- The practice phone number listed in the NPPES registry for Donna Heffernan is (518) 346-3100.
- Does Donna Heffernan accept Medicare?
- Donna Heffernan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donna Heffernan's NPI active?
- Yes — Donna Heffernan's NPI (1003842287) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.