Physician Profile
Donna M. Heffernan, M.D.
Unclaimed ProfileAbout Dr. Heffernan
Donna M. Heffernan, M.D. practices family medicine in Troy, NY. Donna is a 2000 graduate of Albany Medical College of Union University. Medicare claims data shows Donna provided 1,254 services to 695 patients. The services billed most often include residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes, chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, and chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
Education & Training
Specialty
Credentials & Licensing
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (518) 346-3100
- Email not available
Practice Locations
63 EAST RD
Troy, NY 12180
Conditions Commonly Evaluated or Treated
Within Family Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Most searched conditions
- Allergies
- Diabetes
- Flu
- Hypothyroidism
- Strep throat
- UTI
Cardiometabolic
- High blood pressure
- High cholesterol
Digestive
- Acid reflux
- IBS
Genitourinary and reproductive
- Erectile dysfunction
- Heavy periods
Musculoskeletal and pain
- Gout
- Heel pain
Neurologic and behavioral
- ADHD
- Anxiety
- Depression
- Insomnia
- Migraines
Respiratory and infectious
- Acute bronchitis
- Asthma
- Sinus infection
Skin
- Acne
- Eczema
Common childhood and ear conditions
- Ear infection
- Pink eye
Pain & Joints
- Arthritis
- Back pain
Procedures & services
Most searched procedures
- Annual physical
- Blood test
- Flu shot
- Medicare wellness visit
- Sick visit
- TB test
- Well-woman exam
Preventive interventions
- Birth control counseling
- Smoking cessation counseling
Screening and testing
- Cholesterol screening
- Depression screening
- Diabetes and prediabetes screening
- EKG
Diagnostic Tests
- COVID-19 testing
- Rapid Strep and Flu Swabs
- Urine Drug Screen
Exams & Screenings
- Camp and School Physical
- Pre-Op Clearance Exam
Foot and Leg Pain
- Toenail Fungus Treatment
Heart & Circulation
- Blood Pressure Check
Injections
- Immunotherapy
- Vitamin B12 Injections
Lungs & Breathing
- Pulmonary function test
Minor Procedures
- Burn and Wound Care
- Ingrown toenail removal
- Suture removal
Occupational Health
- DOT Physical
Office procedures
- Earwax removal
- Incision and drainage of an abscess
- Superficial foreign-body removal
Pain Management
- Joint injections
Preventive Care
- Chronic Illness Checkup
- Routine Vaccines
- Travel Vaccines And Consult
Respiratory
- Breathing Treatment
Senior Care
- Cognitive Assessment
Sexual & Reproductive Health
- STD Swabs and Screening
Skin Procedures
- Cyst Removal
- Precancerous Sun Spot Freezing
- Skin Tag Removal
- Wart Removal
Sleep Health
- At-Home Sleep Study Order
Urgent Care Procedures
- Stitches and Laceration Repair
Wellness & Weight
- Weight Management Consult
Women's Health
- Hormone Replacement Therapy Consultation
Procedures Most Often Billed to Medicare
1,254 services · 695 patients · 18 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Exam of neurobehavioral status, first hour | Treatment | 96116 |
20 | |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
317 | More often than most peers in Family Medicine |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
287 | More often than most peers in Family Medicine |
| Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | Office visit | 99491 |
85 | As often as other peers in Family Medicine |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99439 |
69 | As often as other peers in Family Medicine |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
65 | As often as other peers in Family Medicine |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
63 | As often as other peers in Family Medicine |
| Advance care planning, first 30 minutes | Office visit | 99497 |
58 | As often as other peers in Family Medicine |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
51 | |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
50 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 1
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other family doctors in Troy 8
Same specialty, same city.
Trained at Albany Medical College of Union University 8
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 2000 at Albany Medical College of Union University 8
Providers who graduated from the same medical school in the same year.
Also performs Exam of neurobehavioral status, first hour 8
Providers in NY who bill this service to Medicare most often.
Common questions
What kind of doctor is Donna M. Heffernan?
Donna M. Heffernan is a family doctor in Troy, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.
NPI registry
What is Donna M. Heffernan's address?
Donna M. Heffernan is listed at 63 East Rd, Troy, NY 12180. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Donna M. Heffernan?
The number on file is (518) 346-3100. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
What is the NPI for Donna M. Heffernan?
Donna M. Heffernan's National Provider Identifier is 1003842287. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Donna M. Heffernan train?
Donna M. Heffernan attended Albany Medical College of Union University, graduating in 2000. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Donna M. Heffernan have?
Donna M. Heffernan has 26 years experience. Calculated from a graduation year of 2000, reported in the CMS National Downloadable File.
CMS public data
What procedures does Donna M. Heffernan perform?
According to Medicare billing data, Donna M. Heffernan provides treatments such as exam of neurobehavioral status, first hour, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Donna M. Heffernan's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Donna M. Heffernan. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.