Matthew Heffernan, MD
NPI 1427568278 · Emergency Medicine Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Heffernan, MD is a Emergency Medicine Physician provider in Chicago, IL (NPI 1427568278).
Provider details
- NPI number
- 1427568278
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036174376 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
158 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 90 | $158 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 43 | $7 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 25 | $110 |
Typical Medicare-allowed amounts for these services range $7–$158 (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.
Practice location
Mailing address
Additional practice locations (1)
- 600 Highland AveMadison, WI 53792-0001Phone: (608) 263-3258Fax: (608) 262-7928
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Frequently asked questions
- What is Matthew Heffernan's NPI number?
- Matthew Heffernan's National Provider Identifier (NPI) is 1427568278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Heffernan's specialty?
- Matthew Heffernan is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Heffernan located?
- Matthew Heffernan's practice location on file with NPPES is 5841 S Maryland Ave # Mc5068, Chicago, IL 60637-1443.
- What is Matthew Heffernan's phone number?
- The practice phone number listed in the NPPES registry for Matthew Heffernan is (773) 702-9500.
- Does Matthew Heffernan accept Medicare?
- Matthew Heffernan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Heffernan's NPI active?
- Yes — Matthew Heffernan's NPI (1427568278) is active in the NPPES registry as of the last update on 2025-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.