Doctor profile · Federal record
Dr. Brian Heffelfinger, M.D.
Ophthalmology Physician (CMS: Ophthalmology) · St. Charles, IL
- NPI 1396804290
- Accepts Medicare
- MIPS 85.4 / 100 · 2023
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
40W330 Lafox Road
St. Charles, IL 60175
(630) 584-9850
fax (630) 584-1523
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- March 27, 2008
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207W00000X — NUCC code
- Medicaid
- IL #36097684
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396804290. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,957
Distinct HCPCS
10
Medicare allowed
$429,666
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 1,049 | 991 | $132 | |
92134 |
Imaging of retina | 763 | 723 | $42 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 531 | 333 | $135 | |
92083 |
Exam of visual field with extended testing | 447 | 381 | $66 | |
92136 |
Measurement of corneal curvature and depth of eye | 244 | 100 | $27 | |
92133 |
Imaging of optic nerve | 231 | 223 | $38 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 170 | 158 | $95 | |
66984 |
Removal of cataract with insertion of prosthetic lens | 148 | 84 | $564 | |
92004 |
New patient complete exam of visual system | 126 | 126 | $157 | |
92250 |
Photography of the retina | 84 | 81 | $37 |
In context: peer comparison
Among 2 peers in St. Charles Ophthalmology Physician, average services per provider: 232. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$453
Transactions
19
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| RxSight INC | 2 | $83.15 | |
| Alcon Vision LLC | 4 | $82.03 | |
| Bausch & Lomb Americas INC. | 2 | $47.23 | |
| Abbvie INC. | 2 | $43.18 | |
| Thea Pharma INC. | 2 | $39.96 | |
| Glaukos Corporation | 1 | $31.55 | |
| Genentech USA, INC. | 1 | $30.25 | |
| Regeneron Healthcare Solutions, INC. | 1 | $26.94 | |
| Apellis Pharmaceuticals, INC. | 1 | $20.71 | |
| Oyster Point Pharma, INC. | 1 | $16.85 | |
| Ocular Therapeutix, INC. | 1 | $16.12 | |
| Harrow Eye, LLC | 1 | $15.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,181
Patients
682
Total drug cost
$206,241
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 1,024 | 285 | $29,814 |
| Timolol Maleate | Generic | 299 | 104 | $3,928 |
| Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) | Brand | 222 | 65 | $6,104 |
| Brimonidine Tartrate | Generic | 184 | 57 | $4,516 |
| Dorzolamide Hcl | Generic | 153 | 44 | $4,955 |
| Prednisolone Acetate | Generic | 53 | 38 | $2,422 |
| Lumigan (Bimatoprost) | Brand | 51 | 13 | $30,545 |
| Travoprost | Generic | 44 | 14 | $18,946 |
| Rhopressa (Netarsudil Mesylate) | Brand | 42 | 16 | $32,510 |
| Tobramycin-Dexamethasone (Tobramycin/Dexamethasone) | Brand | 33 | 32 | $2,241 |
Frequently asked questions
What is Dr. Brian Heffelfinger's medical specialty?
Dr. Brian Heffelfinger practices Ophthalmology Physician in St. Charles, IL.
Where does Dr. Brian Heffelfinger practice?
Dr. Brian Heffelfinger practices at 40W330 Lafox Road, St. Charles, IL 60175. Office phone: 6305849850.
What is Dr. Brian Heffelfinger's NPI?
Dr. Brian Heffelfinger's National Provider Identifier (NPI) is 1396804290, issued by NPPES.
Does Dr. Brian Heffelfinger accept Medicare assignment?
Yes. Dr. Brian Heffelfinger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Brian Heffelfinger commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Imaging of retina (HCPCS 92134); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.