HEATHER DALTON MD
NPI 1033373139
Obstetrics & Gynecology - Gynecologic Oncology in Phoenix, AZ

Q: What is Heather Dalton's NPI number?

The NPI number for Heather Dalton is 1033373139. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Q: What is Heather Dalton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Heather Dalton was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2008PECOS EnrolledAccepts Medicare Assignment

2222 E HIGHLAND AVE STE 400, PHOENIX, AZ 85016(602) 277-4868(602) 230-9350 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2020, Mar 2, 2018, Feb 28, 2017 and 3 more (6 updates tracked since 2016).

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About Heather Dalton Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER DALTON MD (NPI 1033373139) is an individual gynecologic oncology provider in Phoenix, Arizona, licensed in Arizona (51762) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2008).

NPPES Registry Identity

NPI1033373139

Entity TypeIndividualFemale

Primary Taxonomy207VX0201X

Provider Legal NameHEATHER DALTONCredential: MD

Location Address2222 E HIGHLAND AVE STE 400Phoenix, AZ 85016-4880

Mailing Address1760 E River Rd Ste 350Tucson, AZ 85718-5999 · (520) 519-7775 · Fax (520) 519-7910

Phone(602) 277-4868

Fax(602) 230-9350

Sole ProprietorYes

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2008

Enumeration DateJuly 17, 2008

Last NPPES UpdateFebruary 13, 20206 updates tracked since enumeration

✔ NPI 1033373139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in AZ · 51762

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

2222 E HIGHLAND AVE STE 400, Phoenix, AZ 85016

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Other Identifiers 2

Medicaid154266AZ

Other51762AZ · Az Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Dalton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840415345

PECOS Enrollment IDI20160629002702

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

69 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services54 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

44 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLO ANDRES GUERRERO MD

Internal Medicine (Hematology & Oncology)