MICHAEL HEFFERNAN M.D.
NPI 1750588836
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in New Orleans, LA
NPI Status: Active since July 02, 2007
Contact Information
200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118
Phone: (504) 896-9569
- Individual
- Male
- Years of Experience 19
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MICHAEL HEFFERNAN
This page provides the complete NPI Profile along with additional information for Michael Heffernan, a provider established in New Orleans, Louisiana with a medical specialization in Orthopaedic Surgery, focusing in pediatric orthopaedic surgery and more than 19 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1750588836 assigned on July 2007. The practitioner's primary taxonomy code is 207XP3100X with license number 206080 (LA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1750588836
- Provider Name
- MICHAEL HEFFERNAN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 HENRY CLAY AVE NEW ORLEANS, LA 70118
- Location Phone
- (504) 896-9569
- Mailing Address
- 200 HENRY CLAY AVE NEW ORLEANS, LA 70118
- Mailing Phone
- (504) 896-9569
- Medical School Name
- UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
- Graduation Year
- 2007
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-02-2007
- Last Update Date
- 03-20-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 206080
- License State
- LA
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CHRISTUS Bronze - HMO
- CHRISTUS Bronze Essential - HMO
- CHRISTUS Bronze Essential Plus - HMO
- CHRISTUS Bronze Plus - HMO
- CHRISTUS Catastrophic - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold Essential - HMO
- CHRISTUS Gold Essential Plus - HMO
- CHRISTUS Gold Plus - HMO
- CHRISTUS Silver - HMO
- CHRISTUS Silver Essential - HMO
- CHRISTUS Silver Essential Plus - HMO
- CHRISTUS Silver Plus - HMO
- CHRISTUS Standard Expanded Bronze - HMO
- CHRISTUS Standard Gold - HMO
- CHRISTUS Standard Silver - HMO
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 7700 - POS
- Standard Bronze 7500 - POS
- Standard Gold 1500 - POS
- Standard Silver 5000 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Heffernan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Heffernan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9234394552
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120711000227
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 8 | 8 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 8 | 16 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 6 + 8 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750588836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073505632 | THOMAS H CARSON M.D. Individual | Pathology (Blood Banking & Transfusion Medicine) | 200 HENRY CLAY AVE CHILDREN'S HOSPITAL- DEPARTMENT OF PATHOLOGY NEW ORLEANS, LA 70118 (504) 896-9816 |
| 1386638245 | VIVIAN R MCCABE LCSW Individual | Social Worker (Clinical) | 200 HENRY CLAY AVE CHILDREN'S HOSPITAL, DEPT. OF SOC. SERV. NEW ORLEANS, LA 70118 (504) 896-9367 |
| 1669467809 | FRANK JUDE BISSANT MD Individual | Pediatrics (Pediatric Infectious Diseases) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9474 |
| 1619935681 | JAIME A MORALES-ARIAS MD, FAAP Individual | Pediatrics (Pediatric Hematology-Oncology) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9740 |
| 1053351684 | DR. ALLEN J ROSENBERG MD Individual | Pediatrics (Pediatric Gastroenterology) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-3924 |
| 1376584797 | ANDREW G. KING MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9569 |
| 1003858523 | DR. BRIAN BARKEMEYER M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9418 |
| 1700828613 | GEORGE S. ELLIS JR. M.D. Individual | Ophthalmology | 200 HENRY CLAY AVE SUITE 3106 NEW ORLEANS, LA 70118 (504) 896-9426 |
| 1962444232 | KATHY BRUGGERS MOSES CRNA Individual | Nurse Anesthetist, Certified Registered | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9456 |
| 1205878006 | DR. MICHELE M ZEMBO MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9569 |
| 1184667685 | MRS. MARIA TERE VIVES M.D. Individual | Ophthalmology | 200 HENRY CLAY AVE SUITE 3317 NEW ORLEANS, LA 70118 (504) 896-2134 |
| 1407891963 | VINITHA R SHENAVA MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9569 |
| 1235161910 | DEREK ADAM COOK CRNA Individual | Nurse Anesthetist, Certified Registered | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9456 |
| 1346261369 | RAJA M. MOUALLEM MD Individual | Pediatrics (Pediatric Emergency Medicine) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 412-1835 |
| 1629099536 | WILLIAM K ACCOUSTI MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 200 HENRY CLAY AVE SUITE 4103 NEW ORLEANS, LA 70118 (504) 896-9569 |
| 1154342178 | MALEKTAJ YAZDANI MD Individual | Pediatrics | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 412-1860 |
| 1861413882 | MANUEL E CHAVEZ PA Individual | Physician Assistant | 200 HENRY CLAY AVE CHILDRENS HOSPITAL/ORTHROPAEDIS NEW ORLEANS, LA 70118 (504) 896-9569 |
| 1386665305 | AUGUSTO C. OCHOA MD Individual | Pediatrics (Pediatric Allergy/Immunology) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 412-1835 |
| 1205858941 | SUSAN J BERRY MD Individual | Pediatrics | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-2791 |
| 1023031077 | RODOLFO E BEGUE MD Individual | Pediatrics (Pediatric Infectious Diseases) | 200 HENRY CLAY AVE NEW ORLEANS, LA 70118 (504) 896-9583 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750588836, enumerated in the NPI registry as an "individual" on July 02, 2007
The provider is located at 200 Henry Clay Ave New Orleans, La 70118 and the phone number is (504) 896-9569
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XP3100X with a focus in Pediatric Orthopaedic Surgery
The provider has more than 19 years of experience. He graduated from University Of Pittsburgh School Of Medicine in 2007.
The provider might be accepting Accepts: CHRISTUS Health Plan and Primewell Health Services. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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