NPPES file of Aug 9, 2026

Donna Marie Heffernan, M.D.

Family Medicine Physician · Troy, NY

Donna Marie Heffernan, M.D. is a family medicine physician with a practice address in Troy, New York, and NPI 1003842287, issued on Jun 23, 2006. Check the license (New York 227275, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003842287
Name
Donna Marie Heffernan
Credential
M.D.
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
227275 NY
2272751 NY
Self-reported in NPPES; status is on the state search
Practice location
63 East RD, Troy, NY 12180
Phone
(518) 346-3100
Enumerated
Jun 23, 2006
Record last updated
Feb 17, 2026
Fax
(877) 583-1284
Medicaid ID
02425056 NY
Medicare enrollment
Enrolled (PECOS I20091005000018); accepts Medicare assignment
Medical or professional school
Albany Medical College Of Union University, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Donna Marie Heffernan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 227275
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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75% more Medicare Part D claims than the average family medicine physician in 2024

6,214 Medicare Part D claims for 306 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims. 120 claims were for opioids.

  1. Donna Heffernan6,214
  2. Specialty average3,544

Most prescribed

  1. Levothyroxine Sodium341 claims
  2. Atorvastatin Calcium296 claims
  3. Eliquis247 claims
  4. Furosemide222 claims
  5. Omeprazole219 claims
  6. Amlodipine Besylate185 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Kingsway Arms Nursing Center, Inc.Schenectady, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Donna Marie Heffernan among 6,417 family medicine physician records in New York

Donna Marie Heffernan, M.D. is one of 6,417 family medicine physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.

  • NPI issued2006 · 9% of these records are older, 58% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2000 · median 2007 among the 4,188 with a school on file
  • Record last updated2026 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

25 family medicine physician records list a practice address in Troy

They are 25 of the 1,572 NPPES records with a practice address in Troy, and 6,417 family medicine physician records in New York.

The 8 family medicine physician records with the nearest ZIP codes

  1. James Aram, MDTroy, NY 121801417954058
  2. Robert Boska, MDTroy, NY 121801346352986
  3. Rachelle Brilliant, DOTroy, NY 121801154581692
  4. Alan Cruz, MDTroy, NY 121801386734713
  5. Alfredo Cruz, M.D.Troy, NY 121801104916535
  6. Faith Cruz, M.D.Troy, NY 121801952558348
  7. Christopher Fatone, DOTroy, NY 121801629035472
  8. Agnes Gelder, M.D.Troy, NY 121801508915661

Common questions

What is Donna Marie Heffernan, M.D.'s NPI number?

Donna Marie Heffernan, M.D.'s National Provider Identifier (NPI) is 1003842287, issued on Jun 23, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Donna Marie Heffernan, M.D. located?

The NPPES record lists a practice address at 63 East RD, Troy, NY, 12180. Phone: (518) 346-3100. Providers update this record themselves, so call before visiting.

How can I verify Donna Marie Heffernan, M.D.'s license?

NPPES lists New York license number 227275, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Donna Marie Heffernan, M.D. prescribe under Medicare Part D?

In 2024, Donna Marie Heffernan, M.D. had 6,214 Medicare Part D claims for 306 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.