Dr. John Heffernan, M.D

NPI: 1649243643
Total Payments
$9,523
2024 Payments
$1,325
Companies
59
Transactions
451
Medicare Patients
8,712
Medicare Billing
$618,483

Payment Breakdown by Category

Food & Beverage$8,575 (90.0%)
Education$948.61 (10.0%)
Other$0.00 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $8,575 432 90.0%
Education $948.61 19 10.0%

Top Paying Companies

Company Total Records Latest Year
Astellas Pharma US Inc $1,621 83 $0 (2024)
Janssen Biotech, Inc. $1,318 59 $0 (2024)
PFIZER INC. $1,109 77 $0 (2022)
C. R. Bard, Inc. & Subsidiaries $494.33 13 $0 (2024)
Bayer Healthcare Pharmaceuticals Inc. $490.31 22 $0 (2024)
Endo Pharmaceuticals Inc. $345.48 19 $0 (2024)
Ferring Pharmaceuticals Inc. $257.34 12 $0 (2024)
Boston Scientific Corporation $241.21 6 $0 (2023)
Sumitomo Pharma America, Inc. $237.78 12 $0 (2024)
Myriad Genetic Laboratories, Inc. $228.34 11 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,325 50 C. R. Bard, Inc. & Subsidiaries ($291.14)
2023 $1,446 53 Telix Pharmaceuticals ($171.74)
2022 $1,304 49 Astellas Pharma US Inc ($302.25)
2021 $1,063 49 Astellas Pharma US Inc ($319.61)
2020 $811.33 44 Astellas Pharma US Inc ($221.59)
2019 $1,721 91 Astellas Pharma US Inc ($383.23)
2018 $944.79 65 PFIZER INC. ($254.27)
2017 $908.27 50 PFIZER INC. ($177.21)

All Payment Transactions

451 individual payment records from CMS Open Payments — Page 1 of 19

Date Company Product Nature Form Amount Type
12/19/2024 180 Medical, Inc. Food and Beverage In-kind items and services $23.17 General
12/18/2024 UROGEN PHARMA, INC. JELMYTO (Drug) Food and Beverage In-kind items and services $37.71 General
Category: UROTHELIAL CANCER
12/18/2024 Myriad Genetic Laboratories, Inc. PROLARIS (Device) Food and Beverage In-kind items and services $24.74 General
Category: ONCOLOGY
12/06/2024 Sumitomo Pharma America, Inc. GEMTESA (Drug) Food and Beverage In-kind items and services $22.79 General
Category: UROLOGY
11/22/2024 Ferring Pharmaceuticals Inc. ADSTILADRIN (Biological) Food and Beverage In-kind items and services $13.67 General
Category: ONCOLOGY
10/30/2024 Bayer Healthcare Pharmaceuticals Inc. Nubeqa (Drug), Xofigo Food and Beverage In-kind items and services $28.75 General
Category: Oncology
10/24/2024 Myriad Genetic Laboratories, Inc. PROLARIS (Device) Food and Beverage In-kind items and services $18.01 General
Category: ONCOLOGY
10/17/2024 Astellas Pharma US Inc Xtandi (Drug) Food and Beverage In-kind items and services $15.37 General
Category: Oncology
10/17/2024 Ferring Pharmaceuticals Inc. ADSTILADRIN (Biological) Food and Beverage In-kind items and services $14.35 General
Category: ONCOLOGY
10/09/2024 C. R. Bard, Inc. & Subsidiaries Bard Urinary Drainage Bag (Device) Food and Beverage In-kind items and services $67.91 General
Category: Urology
10/09/2024 C. R. Bard, Inc. & Subsidiaries Bard Urinary Drainage Bag (Device) Food and Beverage In-kind items and services $10.75 General
Category: Urology
10/08/2024 C. R. Bard, Inc. & Subsidiaries Bard Urinary Drainage Bag (Device) Food and Beverage In-kind items and services $27.05 General
Category: Urology
10/08/2024 C. R. Bard, Inc. & Subsidiaries Bard Urinary Drainage Bag (Device) Food and Beverage In-kind items and services $3.12 General
Category: Urology
10/04/2024 Sumitomo Pharma America, Inc. GEMTESA (Drug) Food and Beverage In-kind items and services $23.54 General
Category: UROLOGY
09/20/2024 Janssen Biotech, Inc. ERLEADA (Drug), AKEEGA, BALVERSA Food and Beverage In-kind items and services $20.03 General
Category: Oncology
09/11/2024 Tempus AI, Inc Food and Beverage In-kind items and services $23.38 General
09/05/2024 Teleflex LLC UROLIFT (Device) Food and Beverage In-kind items and services $15.12 General
Category: INTERVENTIONAL UROLOGY
09/04/2024 Myriad Genetic Laboratories, Inc. PROLARIS (Device) Food and Beverage In-kind items and services $19.51 General
Category: ONCOLOGY
08/29/2024 Ferring Pharmaceuticals Inc. ADSTILADRIN (Biological) Food and Beverage In-kind items and services $18.56 General
Category: ONCOLOGY
08/07/2024 PROGENICS PHARMACEUTICALS, INC. PYLARIFY (Drug) Food and Beverage In-kind items and services $23.68 General
Category: RADIOPHARMACEUTICAL
08/02/2024 Sumitomo Pharma America, Inc. GEMTESA (Drug) Food and Beverage In-kind items and services $20.04 General
Category: UROLOGY
07/31/2024 Janssen Biotech, Inc. ERLEADA (Drug) Education In-kind items and services $99.00 General
Category: Oncology
07/31/2024 Janssen Biotech, Inc. ERLEADA (Drug), BALVERSA, AKEEGA Food and Beverage In-kind items and services $19.13 General
Category: Oncology
07/25/2024 Bayer Healthcare Pharmaceuticals Inc. Nubeqa (Drug) Food and Beverage In-kind items and services $28.31 General
Category: Oncology
07/06/2024 Tolmar, Inc. ELIGARD (Drug), JATENZO Food and Beverage Cash or cash equivalent $26.47 General
Category: ONCOLOGY

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 21 2,248 2,830 $464,180 $153,938
2022 21 2,283 2,804 $474,802 $153,815
2021 23 2,254 2,824 $487,797 $168,956
2020 27 1,927 3,367 $423,154 $141,773
Total Patients
8,712
Total Services
11,825
Medicare Billing
$618,483
Procedure Codes
92

All Medicare Procedures & Services

92 procedure records from CMS Medicare Utilization — Page 1 of 4

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 383 491 $128,678 $43,456 33.8%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 473 533 $98,304 $31,212 31.8%
52000 Diagnostic exam of bladder and urethra using an endoscope Office 2023 101 119 $59,746 $21,111 35.3%
J9217 Leuprolide acetate (for depot suspension), 7.5 mg Office 2023 22 98 $40,931 $12,656 30.9%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 63 63 $21,504 $6,819 31.7%
52356 Crushing of stone of ureter with insertion of stent using an endoscope Facility 2023 14 17 $14,039 $5,177 36.9%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 43 49 $12,884 $4,868 37.8%
51703 Complicated insertion of bladder tube Office 2023 20 46 $14,266 $4,840 33.9%
99442 Telephone medical discussion with physician, 11-20 minutes Office 2023 43 51 $9,425 $3,480 36.9%
51702 Simple insertion of temporary bladder tube Office 2023 35 74 $9,420 $3,187 33.8%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 27 44 $6,992 $2,659 38.0%
51720 Instillation of anti-cancer drug into bladder Office 2023 16 39 $7,036 $2,592 36.8%
51798 Ultrasound measurement of bladder capacity after voiding Office 2023 339 370 $8,252 $2,557 31.0%
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes Facility 2023 41 57 $5,751 $2,160 37.6%
52332 Insertion of stent in ureter using an endoscope Facility 2023 13 15 $12,625 $1,522 12.1%
81003 Automated urinalysis test Office 2023 504 605 $1,960 $1,323 67.5%
99239 Hospital discharge day management, more than 30 minutes Facility 2023 14 14 $3,318 $1,227 37.0%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 16 16 $3,644 $1,168 32.0%
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional Office 2023 43 56 $2,692 $992.75 36.9%
96372 Injection of drug or substance under skin or into muscle Office 2023 25 59 $1,747 $613.20 35.1%
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle Office 2023 13 14 $966.00 $317.28 32.8%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 432 534 $144,714 $46,961 32.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 420 470 $89,770 $29,450 32.8%
52000 Diagnostic exam of bladder and urethra using an endoscope Office 2022 103 128 $66,188 $23,023 34.8%
J9217 Leuprolide acetate (for depot suspension), 7.5 mg Office 2022 12 75 $31,148 $9,734 31.3%

About Dr. John Heffernan, M.D

Dr. John Heffernan, M.D is a Urology healthcare provider based in Newport, Rhode Island. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 02/09/2006. The National Provider Identifier (NPI) number assigned to this provider is 1649243643.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. John Heffernan, M.D has received a total of $9,523 in payments from pharmaceutical and medical device companies, with $1,325 received in 2024. These payments were reported across 451 transactions from 59 companies. The most common payment nature is "Food and Beverage" ($8,575).

As a Medicare-enrolled provider, Heffernan has provided services to 8,712 Medicare beneficiaries, totaling 11,825 services with total Medicare billing of $618,483. Data is available for 4 years (2020–2023), covering 92 distinct procedure/service records.

Practice Information

  • Specialty Urology
  • Location Newport, RI
  • Active Since 02/09/2006
  • Last Updated 01/25/2010
  • Taxonomy Code 208800000X
  • Entity Type Individual
  • Practice Solo Practitioner
  • NPI Number 1649243643

Products in Payments

  • XTANDI (Drug) $1,473
  • ERLEADA (Drug) $643.67
  • Nubeqa (Drug) $470.75
  • Erleada (Drug) $460.41
  • Bard Urinary Drainage Bag (Device) $409.95
  • XIAFLEX (Biological) $347.75
  • GEMTESA (Drug) $341.63
  • ZYTIGA (Drug) $263.03
  • TOVIAZ (Drug) $260.64
  • Xtandi (Drug) $219.74
  • PROLARIS (Device) $191.72
  • ILLUCCIX (Drug) $191.02
  • FIRMAGON (Drug) $171.74
  • Myrbetriq (Drug) $164.66
  • MYRBETRIQ (Drug) $157.60
  • PYLARIFY (Drug) $138.35
  • XYOSTED (Drug) $133.98
  • KEYTRUDA (Biological) $131.82
  • ELIGARD (Drug) $118.25
  • AQUABEAM ROBOTIC SYSTEM (Device) $112.00

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

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