Doctor profile · Federal record
Dr. Sean Heffelfinger, MD
Family Medicine Physician (CMS: Family Practice) · Catasauqua, PA
- NPI 1265483341
- Accepts Medicare
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1400 Main St
Catasauqua, PA 180322646
(610) 264-0411
fax (610) 264-8498 - Mailing address
-
1605 N Cedar Crest Blvd, Suite 110B
Allentown, PA 181042351
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- May 2, 2025
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #MD071157L
- Medicaid
- PA #0018680230001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265483341. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,697
Distinct HCPCS
10
Medicare allowed
$146,531
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J0897 |
Injection, denosumab, 1 mg | 1,560 | 14 | $23 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 336 | 149 | $122 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 128 | 128 | $126 | |
G0008 |
Administration of influenza virus vaccine | 98 | 97 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 95 | 94 | $72 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 67 | 55 | $84 | |
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 66 | 25 | $104 | |
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 64 | 24 | $126 | |
36415 |
Insertion of needle into vein for collection of blood sample | 41 | 13 | $8 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 41 | 33 | $178 |
In context: peer comparison
Among 3 peers in Catasauqua Family Medicine Physician, average services per provider: 88. This provider delivers 31× the peer median.Open Payments
Industry payments received
All-time total
$110
Transactions
6
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 2 | $34.57 | |
| Phathom Pharmaceuticals, INC. | 1 | $24.90 | |
| Aimmune Therapeutics, INC. | 1 | $18.75 | |
| Amgen INC. | 1 | $16.90 | |
| Lilly USA, LLC | 1 | $14.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,141
Patients
923
Total drug cost
$254,181
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 536 | 112 | $8,521 |
| Lisinopril | Generic | 397 | 91 | $5,124 |
| Levothyroxine Sodium | Generic | 378 | 65 | $6,112 |
| Amlodipine Besylate | Generic | 369 | 74 | $4,794 |
| Eliquis (Apixaban) | Brand | 333 | 35 | $156,150 |
| Metoprolol Succinate | Generic | 272 | 53 | $4,733 |
| Metformin Hcl | Generic | 245 | 47 | $3,059 |
| Sertraline Hcl | Generic | 238 | 43 | $2,842 |
| Omeprazole | Generic | 224 | 60 | $2,761 |
| Gabapentin | Generic | 222 | 39 | $4,899 |
Hospital affiliations
Frequently asked questions
What is Dr. Sean Heffelfinger's medical specialty?
Dr. Sean Heffelfinger practices Family Medicine Physician in Catasauqua, PA.
Where does Dr. Sean Heffelfinger practice?
Dr. Sean Heffelfinger practices at 1400 Main St, Catasauqua, PA 180322646. Office phone: 6102640411.
What is Dr. Sean Heffelfinger's NPI?
Dr. Sean Heffelfinger's National Provider Identifier (NPI) is 1265483341, issued by NPPES.
Does Dr. Sean Heffelfinger accept Medicare assignment?
Yes. Dr. Sean Heffelfinger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Sean Heffelfinger commonly perform?
Top Medicare-reported procedures in 2023: Injection, denosumab, 1 mg (HCPCS J0897); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.