John Philip Heffernan, M.D.
NPI 1649243643ActiveIndividual· Urology· Newport, RI
Urology (M.D.) in Newport, Rhode Island, trained at Georgetown University School of Medicine (class of 1986). Their prescriptions cost Medicare Part D more than their services did: $1,281,562 for 4,999 claims, against $201,928 paid for services in 2024. Ferring Pharmaceuticals Inc. was the largest of 18 companies reporting payments in 2025, $1,182 in all, mostly food and beverage.
Overview
| NPI | 1649243643 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 9, 2006 |
| Last updated in NPPES | Jan 25, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | MD09513 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,076 |
|---|---|
| Services billed | 4,073 across 75 procedure codes |
| Paid by Medicare | $201,928 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,999 · 9,369 30-day fills |
|---|---|
| Patients | 1,037 |
| Total drug cost | $1,281,562 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Georgetown University School of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Urology |
| Telehealth | Offers telehealth |
Medical group
- Silver Spring Health Care Management IncNarragansett, RI · 134 clinicians
Hospital affiliations
- Newport HospitalNewport, RI
- Our Lady of Fatima HospitalNorth Providence, RI
- South County Hospital IncWakefield, RI
- Southcoast Hospitals GroupFall River, MA
- The Miriam HospitalProvidence, RI
Other facilities
- South County Home HealthHome health agency · Wakefield, RI
Industry payments (Open Payments)
- 2025$1,182 · 50 payments from 18 companies
- 2024$1,325 · 50 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ferring Pharmaceuticals Inc. | $178.43 | 12 |
| Sumitomo Pharma America, Inc. | $153.96 | 8 |
| Urogen Pharma, Inc. | $139.75 | 5 |
| Immunitybio, Inc. | $129.65 | 5 |
| Dendreon Pharmaceuticals LLC | $97.99 | 4 |
What the 2025 payments were for
- Food and Beverage$1,182 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Urology providers in Newport
- 1790218394
- 1407026479
- 1154394096
- 1457324758
- 1215900758