Paul Heffernan, D.P.M.
NPI 1235247115 · Primary Podiatric Medicine Podiatrist · Cambridge, MA
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Heffernan, D.P.M. is a Primary Podiatric Medicine Podiatrist provider in Cambridge, MA (NPI 1235247115).
Provider details
- NPI number
- 1235247115
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 1866 (MA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
414 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Removal of Fingernails Or Toenails, 1-5 Nails11720 | 151 | $15 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 123 | $25 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 66 | $70 |
| Trimming of Fingernails Or Toenails11719 | 49 | $7 |
| Trimming of Dystrophic Nails, Any NumberG0127 | 25 | $7 |
Typical Medicare-allowed amounts for these services range $7–$70 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ammonium Lactate | 29 | 12 |
| Ciclopirox Olaminebrand: Ciclopirox | 17 | 13 |
| Clotrimazole | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$84 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Paul Heffernan's NPI number?
- Paul Heffernan's National Provider Identifier (NPI) is 1235247115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Heffernan's specialty?
- Paul Heffernan is listed in the NPPES registry with a primary specialty of Primary Podiatric Medicine Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Paul Heffernan located?
- Paul Heffernan's practice location on file with NPPES is 1493 Cambridge St, Cambridge, MA 02139-1047.
- What is Paul Heffernan's phone number?
- The practice phone number listed in the NPPES registry for Paul Heffernan is (617) 665-3570.
- Does Paul Heffernan accept Medicare?
- Paul Heffernan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Heffernan's NPI active?
- Yes — Paul Heffernan's NPI (1235247115) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.