DR. HENRY HEATON M.D.
NPI 1053798900
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
214 SULLIVAN ST, NEW YORK, NY 10012(212) 385-3700(212) 385-3703 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Henry Heaton M.d. NPPES

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

DR. HENRY HEATON M.D. (NPI 1053798900) is an individual mohs-micrographic surgery provider in New York, New York, licensed in New York (303130) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2015).

NPPES Registry Identity

NPI1053798900
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. HENRY HEATONCredential: M.D.
Location Address214 SULLIVAN STNew York, NY 10012-1354
Mailing Address214 Sullivan StNew York, NY 10012-1354 · (212) 385-3700 · Fax (212) 385-3703
Fax(212) 385-3703
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
NPI 1053798900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in NY · 303130
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 303130 (NY)
214 SULLIVAN ST, New York, NY 10012

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

Dr. Henry Heaton M.d. 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 ID8022302843
PECOS Enrollment IDI20210608000316
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 23

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,328 services249 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
975 services577 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
562 services447 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
551 services370 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.
433 services332 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
284 services183 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10012 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 13

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

Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
Dermatology
214 SULLIVAN ST
NEW YORK, NY 10012
Physician Assistant (Medical)
214 SULLIVAN ST
NEW YORK, NY 10012
Physician Assistant
214 SULLIVAN ST
NEW YORK, NY 10012
Acupuncturist
214 SULLIVAN ST, 3B
NEW YORK, NY 10012
Physician Assistant
214 SULLIVAN ST
NEW YORK, NY 10012
Naturopath
214 SULLIVAN ST, SUITE 3B
NEW YORK, NY 10012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Heaton's NPI number?

The NPI number for Henry Heaton is 1053798900. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Henry Heaton located?

Henry Heaton practices at 214 Sullivan St, New York, NY 10012. The listed phone number is (212) 385-3700.

What is Henry Heaton's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Henry Heaton enrolled in Medicare?

Yes. Henry Heaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Henry Heaton was last updated on July 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.