Physician

Andrew Charles Heaford, MD

According to 2025 Medicare claims, Andrew Heaford, MD (NPI: 1801005251) practices otolaryngology in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Kent, MI. This provider's primary affiliated billing organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI: 1235188673; TIN: 381358164) and primary practice location at 49503-2560. Heaford is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Heaford's data goes back to 2015 and runs through 2024. For example, in 2021, this provider had 15 traditional Medicare patients, billed 30 HCPCS/CPT codes, and received $2,526 in Medicare payments. 2017 Part D data shows 33 prescription claims across 16 beneficiaries totaling $1,103 in drug costs. Open Payments data shows 2 records totaling $55. 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 started with an early spike, then settled into a lower baseline, moving from $21,599 to $2,526. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$11K$22K2015 Medicare payment: $21,599 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $11,590 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $6,634 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,008 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,839 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,500 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,526 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201597409$21,599
201669141$11,590
201736127$6,634
201816277$3,008
201917137$2,839
20201528$2,500
20211530$2,526
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.9K$3.8K2015 Drug cost: $3,829 (USD; Tot_Drug_Cst)2016 Drug cost: $2,703 (USD; Tot_Drug_Cst)2017 Drug cost: $1,103 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201553117$3,829
20164685$2,703
20171633$1,103
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

No connected Part B code-level records for 2024.

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$55Integra LifeSciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Andrew Charles Heaford, MD?

Tedicare shows public-source Medicare data for Andrew Charles Heaford, MD (NPI 1801005251), 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 Andrew Charles Heaford, MD have ACO affiliation data?

Andrew Charles Heaford, MD is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Andrew Charles Heaford, MD?

Andrew Charles Heaford, MD is linked to SPECTRUM HEALTH PRIMARY CARE PARTNERS (billing NPI 1235188673) in the available physician profile data.

Does Andrew Charles Heaford, MD have Open Payments data?

Andrew Charles Heaford, MD has 2 connected Open Payments records in the available 2024 summary 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.