Dr. Donna Heffernan, MD
63 East Rd, Troy, NY 12180 • +1-455-555-7424
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Troy Percentiles
NPI #1003842287 • CBSA Regional • Family Practice
Operating out of Troy, NY (63 East Rd), Family Practice clinician Dr. Donna Heffernan, MD (accredited MD/DO training, 1993) maintains a mid-cohort balanced caseload (42.86th Troy percentile) (47.42th NY percentile; Z-score -0.29σ across 1,357 documented services) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Heffernan (averaging 7.5 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 42% of tracked volume (570 encounters), paired with 99213 (421x).
Self-pay new patient consultations with Dr. Heffernan (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.77/5 modern protocol openness score across 16 patient logs.
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Heffernan coordinates 37 Active CMS HCPCS Codes workups from 63 East Rd (+1-455-555-7424).
Compared against Troy, NY Family Practice peers
1,357 annual services across 180 beneficiaries
Standard deviations from NY Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 570 | 42.86th | $179 – $245 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 421 | 40.86th | $137 – $188 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 163 | 41.86th | $205 – $281 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 122 | 41.86th | $39 – $54 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 81 | 46.86th | $246 – $337 |
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Dr. Donna Heffernan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heffernan National Provider Identifier | NPI #1003842287 (MD) | CMS NPPES Registry (12180) |
| Dr. Heffernan Troy CMS Volume Rank | 42.86th Pct (1,357 CMS svcs; Z -0.291σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Troy, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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