Dr. Brian L. Heffelfinger, MD
- Medicare services, 2024
- 4,586
- Medicare patients, 2024
- 1,217
- Part D claims, 2024
- 2,456
- MIPS score, 2024
- 90
- Hospital affiliations
- 1
- Practice address
- 40W330 Lafox Rd, Saint Charles, IL 60175
- Practice phone
- Call (630) 584-9850
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Fox Valley Ophthalmology
Saint Charles, Illinois
Find Dr. Heffelfinger's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Brian L. Heffelfinger is an ophthalmologist in Saint Charles, Illinois
Dr. Heffelfinger practices at Fox Valley Ophthalmology in Saint Charles, Illinois.
Dr. Heffelfinger's NPI, 1396804290, was assigned on December 6, 2006. Dr. Heffelfinger graduated from Rush Medical College of Rush University in 1995.
- NPI
- 1396804290NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6608760152
- NPI enumeration date
- December 6, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (630) 584-9850
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 57
- Medical school graduation
- 1995
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Brian L. Heffelfinger practices at Fox Valley Ophthalmology in Saint Charles, Illinois
Dr. Heffelfinger's primary practice is Fox Valley Ophthalmology, at 40W330 Lafox Rd, Saint Charles, IL 60175 in Kane County. The practice phone is (630) 584-9850.
- Fox Valley Ophthalmology40W330 Lafox Rd, Saint Charles, IL 60175 · Kane CountyPhone(630) 584-9850
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Brian L. Heffelfinger is affiliated with 3 sites of care and 1 medical group
Dr. Heffelfinger's primary practice is Fox Valley Ophthalmology in Saint Charles, Illinois. Dr. Heffelfinger is also affiliated with Saint Joseph Hospital. Dmand AI also links Dr. Heffelfinger to 1 more group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Brian L. Heffelfinger's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Heffelfinger practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Fox Valley Ophthalmology | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Brian L. Heffelfinger is one of 692 ophthalmologists in Illinois
Ophthalmology is Dr. Heffelfinger's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Heffelfinger has a license on file in Illinois.
Specialties and state licenses
- Ophthalmology, Illinois
Ophthalmologists near Dr. Heffelfinger
Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Brian L. Heffelfinger billed Medicare for 4,586 services in 2024
CMS data shows 4,586 Medicare services from Dr. Heffelfinger across 16 procedure codes in 2024, for 1,217 Medicare patients. Medicare paid $315,991 for them.
Dr. Heffelfinger's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 3,0192024: 3,0451%
- Office and hospital visits
- 2023: 7012024: 80815%
- Other services
- 2023: 02024: 464
- Surgery
- 2023: 2002024: 23116%
- Imaging
- 2023: 372024: 383%
Where Dr. Heffelfinger's Medicare services took place, 2024
- In an office4,40796%
- In a facility1794%
Dr. Heffelfinger compared with the Illinois median for ophthalmologists, 2024
- Dr. Heffelfinger
- Illinois median
- Medicare services
- 4,586vs 1,5443.0 times
- Medicare patients
- 1,217vs 5772.1 times
- Part D claims
- 2,348vs 5824.0 times
Medians across 710 ophthalmologists in Illinois with Dmand AI profiles that report each measure.
Dr. Heffelfinger's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Heffelfinger and other ophthalmologists in Illinois.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Brian L. Heffelfinger treated 1,217 Medicare patients in 2024, average age 77
CMS counts 1,217 Medicare patients who saw Dr. Heffelfinger in 2024. The largest group is 75 to 84, with 584 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 3% are also on Medicaid. Their average risk score is 1.03, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Heffelfinger's median patient age at 76, with 57% women.
Dr. Heffelfinger's Medicare patients by age, 2024
Dr. Heffelfinger's Medicare patients by sex, 2024
- Women75162%
- Men46638%
Chronic conditions among Dr. Heffelfinger's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis45%
- Diabetes31%
- Chronic kidney disease24%
- Ischemic heart disease24%
- Anxiety19%
- Atrial fibrillation17%
Share of Medicare patients with each condition. A patient can have several.
Dr. Heffelfinger's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 76
Patient panel by sex, all payers
- Women57%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Brian L. Heffelfinger wrote 2,456 Medicare Part D claims in 2024
In 2024, Dr. Heffelfinger wrote 2,456 Medicare Part D claims for 507 patients. 61% of them were for generic drugs. CMS names the drug for 2,348 of them, across 22 drugs with 11 or more claims each, at $188,017 in total drug cost. In 2023, CMS named 2,298 claims across 19 drugs.
Dr. Heffelfinger's Part D claims by kind of drug, 2024
- Generic1,487 claims61%
- Brand-name969 claims39%
Dr. Heffelfinger's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Heffelfinger's Part D claims, 2024
- Antibiotics1%18 of 2,456 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2,2982024: 2,3482%
Drugs named by CMS: 22 in 2024, 19 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Brian L. Heffelfinger scored 90 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 90 out of 100 for Dr. Heffelfinger for performance year 2024, reported as part of a group. Dr. Heffelfinger accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 209 procedures of cataract surgery by Dr. Heffelfinger, more than 84% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Heffelfinger's MIPS scores, performance year 2024
- 90of 100Final score
- 97.9of 100Quality
- 40of 100Improvement Activities
- 70of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Heffelfinger ranks in Medicare procedure volume
- Cataract surgery
- 84th percentile209 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Brian L. Heffelfinger received $1,993 in industry payments from 2016 to 2025
CMS Open Payments shows 85 general payments to Dr. Heffelfinger from 24 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 92% of the total. Alcon Laboratories Inc paid the most, $512.
General payments to Dr. Heffelfinger by program year, 2016 to 2025
General payments to Dr. Heffelfinger by kind, 2016 to 2025
- Food and beverage$1,83592%
- Education$1136%
- Gifts$452%
Companies that paid Dr. Heffelfinger the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Brian L. Heffelfinger graduated from Rush Medical College of Rush University
Dr. Heffelfinger graduated from Rush Medical College of Rush University in 1995.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Brian L. Heffelfinger's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Brian L. Heffelfinger
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Brian L. Heffelfinger's NPI number?
Dr. Brian L. Heffelfinger's NPI number is 1396804290. It was assigned on December 6, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Brian L. Heffelfinger?
Dr. Brian L. Heffelfinger is an ophthalmologist in Saint Charles, Illinois. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Brian L. Heffelfinger practice?
Dr. Heffelfinger practices at 40W330 Lafox Rd, Saint Charles, IL 60175. Dr. Heffelfinger's primary practice is Fox Valley Ophthalmology in Saint Charles, Illinois. Dmand AI also links Dr. Heffelfinger to 1 group practice or clinic and 1 medical group.
What is Dr. Brian L. Heffelfinger's office phone number?
The practice phone on file for Dr. Heffelfinger is (630) 584-9850.
Which hospitals is Dr. Brian L. Heffelfinger affiliated with?
Dr. Heffelfinger is affiliated with Saint Joseph Hospital.
Does Dr. Brian L. Heffelfinger accept Medicare?
Yes. CMS data shows Dr. Heffelfinger billed Medicare for 4,586 services in 2024, and Dr. Heffelfinger accepts Medicare assignment.
What is Dr. Brian L. Heffelfinger's MIPS score?
Dr. Heffelfinger's MIPS final score for performance year 2024 is 90 out of 100, reported as part of a group.
How many Medicare patients does Dr. Brian L. Heffelfinger see?
CMS counts 1,217 Medicare patients who saw Dr. Heffelfinger in 2024, with an average age of 77.
What services does Dr. Brian L. Heffelfinger bill to Medicare?
In 2024, Dr. Heffelfinger's most billed Medicare services were eye exam or test (92014), eye exam or test (92134) and office visit, established patient (99214).
Where did Dr. Brian L. Heffelfinger go to medical school?
Dr. Heffelfinger graduated from Rush Medical College of Rush University in 1995.
Show 3 more questionsShow fewer questions
What drugs does Dr. Brian L. Heffelfinger prescribe most?
In 2024 Medicare Part D data, Dr. Heffelfinger's most prescribed drugs by claims were Latanoprost, Timolol Maleate and Dorzolamide-Timolol.
Has Dr. Brian L. Heffelfinger received payments from drug or device companies?
CMS Open Payments shows $1,993 in general payments to Dr. Heffelfinger from 24 companies from 2016 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Brian L. Heffelfinger been practicing?
Dr. Heffelfinger graduated from medical school in 1995, 31 years ago.
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