Physician

Jason Heffernan, MD

According to 2025 Medicare claims, Jason Heffernan, MD (NPI: 1528107562) practices family practice in the Spokane-Spokane Valley, WA market, with the plurality of this provider's patient population coming from Spokane, WA. This provider's primary affiliated billing organization is PACWEST HEALTHCARE, PLLC (NPI: 1952093742; TIN: 931472400) and primary practice location at 99208-9210. Heffernan is affiliated with the MultiCare Connected Care, LLC (ACO ID: A3631), participating under the MSSP model.

Heffernan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 339 traditional Medicare patients, billed 934 HCPCS/CPT codes, and received $82,613 in Medicare payments. The top billing code was 99345 (Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes). Part D data shows 3,744 prescription claims across 291 beneficiaries totaling $346,038 in drug costs, led by Eliquis (Apixaban). DME data shows 41 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a higher plateau to a lower plateau, from $156,569 to $82,613. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $464,018 and ending at $346,038. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,598 and ending at $1,126.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	518	1,775	$156,569
2016	512	1,614	$141,923
2017	414	1,345	$111,027
2018	372	942	$82,284
2019	269	494	$46,598
2020	202	380	$34,942
2021	307	373	$41,088
2022	478	756	$74,013
2023	298	727	$69,573
2024	339	934	$82,613

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	262	9,378	$464,018
2016	341	7,271	$355,118
2017	367	13,086	$710,101
2018	399	12,301	$754,936
2019	334	10,919	$663,818
2020	230	7,047	$423,522
2021	404	9,108	$615,621
2022	392	9,955	$729,498
2023	347	9,641	$909,437
2024	291	3,744	$346,038

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	158	$4,377
2016	N/R	36	$1,878
2017	N/R	N/R	N/R
2018	N/R	14	$42
2019	N/R	27	$3,007
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	14	148	$5,497
2024	N/R	41	$861

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99345	Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	45	45	$154
99344	Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes	51	51	$105
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	99	122	$97
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	77	124	$59
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	115	127	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	220	3,302	$71,761
Xifaxan	Rifaximin	20	229	$25,659
Toujeo Max Solostar	Insulin Glargine,hum.Rec.Anlog	16	461	$19,011
Trulicity	Dulaglutide	17	462	$18,347
Ozempic	Semaglutide	13	370	$14,842

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	13	$442
K0001	Standard wheelchair	Y	N/R	28	$420

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Jason Heffernan, MD?

Tedicare shows public-source Medicare data for Jason Heffernan, MD (NPI 1528107562), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Jason Heffernan, MD have ACO affiliation data?

Jason Heffernan, MD is shown with ACO affiliation data for MultiCare Connected Care, LLC (MSSP, ACO ID A3631).

What billing organization is linked to Jason Heffernan, MD?

Jason Heffernan, MD is linked to PACWEST HEALTHCARE, PLLC (billing NPI 1952093742) in the available physician profile data.

Does Jason Heffernan, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.