Brian L. Heffelfinger, M.D.
NPI 1396804290ActiveIndividual· Ophthalmology· St. Charles, IL
Ophthalmology (M.D.) in St. Charles, Illinois, trained at Rush Medical College of Rush University (class of 1995). In 2024 Medicare paid $325,949 for 1,217 patients, and Part D covered 2,456 of their prescriptions, 61% of them generic. Alcon Vision LLC was the largest of 6 companies reporting payments in 2025, $222.80 in all, mostly food and beverage.
Overview
| NPI | 1396804290 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 6, 2006 |
| Last updated in NPPES | Mar 27, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,217 |
|---|---|
| Services billed | 4,650 across 28 procedure codes |
| Paid by Medicare | $325,949 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,456 · 5,503 30-day fills |
|---|---|
| Patients | 507 |
| Total drug cost | $249,256 |
| Generic share | 61% of claims |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Ophthalmology |
Medical group
- Fox Valley OphthalmologySaint Charles, IL · 7 clinicians
Hospital affiliation
- Saint Joseph Hospital-ElginElgin, IL
Industry payments (Open Payments)
- 2025$222.80 · 10 payments from 6 companies
- 2024$453.40 · 19 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $88.45 | 4 |
| Thea Pharma Inc. | $44.27 | 2 |
| Tarsus Pharmaceuticals, Inc. | $29.33 | 1 |
| Lumibird Medical Inc. | $24.02 | 1 |
| Oyster Point Pharma, Inc. | $22.10 | 1 |
What the 2025 payments were for
- Food and Beverage$222.80 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other ophthalmologists in St. Charles
- 1104985159
- 1518027994