John Philip Heffernan, M.D.
Urology Physician · Newport, RI
John Philip Heffernan, M.D. is a urology physician with a practice address in Newport, Rhode Island, and NPI 1649243643, issued on Feb 9, 2006. Check the license (Rhode Island MD09513, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- John Philip Heffernan
- Credential
- M.D.
- Primary taxonomy
- Urology Physician 208800000X
- License number
- MD09513 RI
Self-reported in NPPES; status is on the state search - Practice location
- 38 Powel Ave, Newport, RI 02840
- Phone
- (401) 847-2418
- Enumerated
- Feb 9, 2006
- Record last updated
- Jan 25, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (401) 619-1028
- Medicaid ID
- 7006003 RI
- Medicare enrollment
- Enrolled (PECOS I20101103001097); accepts Medicare assignment
- Medical or professional school
- Georgetown University School Of Medicine, 1986
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest urology physician records → All 66 in Rhode Island → Look up another NPI →
Also registered at 38 Powel Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Joseph Heineman, M.D.Urology Physician1154394096
- Arnold Sarazen, M.D.Urology Physician1457324758
- Richard Zuerner, M.D.Urology Physician1215900758
Verify John Philip Heffernan in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license MD09513Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.7 times the Medicare Part D claims of the average urology physician in 2024
4,999 Medicare Part D claims for 1,037 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. 129 claims were for opioids.
Most prescribed
- Finasteride1,034 claims
- Tamsulosin Hcl1,025 claims
- Methenamine Hippurate341 claims
- Gemtesa217 claims
- Testosterone Cypionate192 claims
- Myrbetriq179 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.
Industry payments in 2024: $1,324.88
50 payments; by number, the most common kind was food and beverage; the largest payer was C. R. Bard, Inc. & Subsidiaries. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Silver Spring Health Care Management IncEast Greenwich, RI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Philip Heffernan among 66 urology physician records in Rhode Island
John Philip Heffernan, M.D. is one of 66 urology physician records with a practice address in Rhode Island. 76% 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 11% of them.
- NPI issued2006 · 11% of these records are older, 55% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated1986 · median 2004 among the 42 with a school on file
- Record last updated2010 · 65% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Rhode Island
There are 66 urology physician records in Rhode Island.
All 66 in Rhode Island → Every provider in Newport → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Ashley Alford, MDNewport, RI 028401790218394
- Samuel Eaton, M.D.Newport, RI 028401407026479
- Joseph Heineman, M.D.Newport, RI 028401154394096
- Arnold Sarazen, M.D.Newport, RI 028401457324758
- Richard Zuerner, M.D.Newport, RI 028401215900758
- Paul Barber, MDEast Greenwich, RI 028181649261629
- Bruce NadjmiLincoln, RI 028651104075084
- Lawrence Audino, M.D.Portsmouth, RI 028711982823209
Common questions
What is John Philip Heffernan, M.D.'s NPI number?
John Philip Heffernan, M.D.'s National Provider Identifier (NPI) is 1649243643, issued on Feb 9, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John Philip Heffernan, M.D. located?
The NPPES record lists a practice address at 38 Powel Ave, Newport, RI, 02840. Phone: (401) 847-2418. Providers update this record themselves, so call before visiting.
How can I verify John Philip Heffernan, M.D.'s license?
NPPES lists Rhode Island license number MD09513, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John Philip Heffernan, M.D. prescribe under Medicare Part D?
In 2024, John Philip Heffernan, M.D. had 4,999 Medicare Part D claims for 1,037 beneficiaries; the average among urology physician prescribers was 1,340. 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.