2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1427568278 MD
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MATTHEW HEFFERNAN, MD

Emergency Medical Services (Emergency Medicine) Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
93
Medicare Part D claims · 70 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394

What the federal data shows

MATTHEW HEFFERNAN, MD filed 93 Medicare Part D claims in 2023 as a Emergency Medical Services (Emergency Medicine) Physician in CHICAGO, Illinois.

93
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MATTHEW HEFFERNAN, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

93 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MATTHEW HEFFERNAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MATTHEW HEFFERNAN, MD?

Quality data not reported

NPI registry status

Active

Issued 10/06/2017

NPI 1427568278

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

93 76% vs specialty avg

2023 prescription claims

Specialty avg: 394

Specialty distribution in Illinois

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Emergency Medical Services (Emergency Medicine) Physician share within Illinois

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medical Services (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medical Services (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medical Services (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medical Services (Emergency Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MATTHEW HEFFERNAN, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 5841 S MARYLAND AVE # MC5068, CHICAGO, IL, 60637, with a listed phone of (773) 702-9500. NPI 1427568278 was issued on 10/06/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEFFERNAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 93 prescription claims written by this provider, covering 70 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 12.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637

Provider Details

NPI 1427568278
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 10/06/2017

Hospital and facility affiliations

Facilities where MATTHEW HEFFERNAN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SOUTHERN WISCONSIN EMERGENCY ASSOCIATES SC
BELOIT, WI
UNIVERSITY OF CHICAGO
CHICAGO, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MATTHEW HEFFERNAN, MD. To verify MATTHEW HEFFERNAN, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

93
Total Claims
$2K
Total Drug Cost
70
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
94
Total Day Supply
922
Generic Drug Cost
$1K
Opioid Claims
12 (12.9% rate)
Antibiotic Claims
32

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.61
Gender Split
70% female / 30% male

Emergency Medical Services (Emergency Medicine) Physician Overview

How MATTHEW HEFFERNAN, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

MATTHEW HEFFERNAN, MD's 93 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as HEFFERNAN.

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW HEFFERNAN, MD's specialty?
MATTHEW HEFFERNAN, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does MATTHEW HEFFERNAN, MD prescribe under Medicare Part D?
In 2023, MATTHEW HEFFERNAN, MD wrote 93 Medicare Part D claims totaling $2K in drug costs for 70 beneficiaries.
Where is MATTHEW HEFFERNAN, MD located?
MATTHEW HEFFERNAN, MD is located at 5841 S MARYLAND AVE # MC5068, CHICAGO, IL, 60637. Phone: (773) 702-9500.
What is MATTHEW HEFFERNAN, MD's NPI number?
MATTHEW HEFFERNAN, MD's National Provider Identifier (NPI) is 1427568278, issued on 10/06/2017.
Does MATTHEW HEFFERNAN, MD prescribe opioids?
Yes, MATTHEW HEFFERNAN, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 12.9%.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
Does MATTHEW HEFFERNAN, MD accept Medicare?
MATTHEW HEFFERNAN, MD appears in CMS Medicare data with 93 Part D claims and 70 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW HEFFERNAN, MD's credentials?
MATTHEW HEFFERNAN, MD's NPI is 1427568278 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology