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KEVIN T HEATON DO PC
NPI 1073733671
Specialist in Klamath Falls, OR

Active since April 26, 2007
2200 BRYANT WILLIAMS DR, SUITE 1, KLAMATH FALLS, OR 97601(541) 884-7746(541) 884-0848 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Nov 14, 2017 (2 updates tracked since 2017).

About Kevin T Heaton Do Pc NPPES

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

KEVIN T HEATON DO PC (NPI 1073733671) is a healthcare organization registered as a specialist in Klamath Falls, Oregon and active in the NPI registry since April 2007. The organization lists Jeannette L Gansberg, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073733671
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEVIN T HEATON DO PC
Location Address2200 BRYANT WILLIAMS DR, SUITE 1Klamath Falls, OR 97601-1120
Mailing Address2200 Bryant Williams Dr, Suite 1Klamath Falls, OR 97601-1120 · (541) 884-7746 · Fax (541) 884-0848
Phone(541) 884-7746
Fax(541) 884-0848
Organization SubpartNo
Authorized OfficialJeannette L GansbergExecutive Director · (541) 274-2902
Enumeration DateApril 26, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1073733671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · DO22887
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2200 BRYANT WILLIAMS DR, Klamath Falls, OR 97601
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Other Identifiers 5

Medicaid287483OR
OtherXPY195175CA · Medical
OtherDG2430OR · Rail Road Medicare
Other4604977397601OR · Tricare
Other831170000OR · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin T Heaton Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin T Heaton Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Heaton, DO
Orthopedic Surgery
NPI 1467474569
2200 BRYANT WILLIAMS DRIVE SUITE 1
Klamath Falls, OR 97601
(541) 884-7746
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kevin T Heaton Do PC's NPI number?

The NPI number for Kevin T Heaton Do PC is 1073733671. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Kevin T Heaton Do PC located?

Kevin T Heaton Do PC is located at 2200 Bryant Williams Dr Suite 1, Klamath Falls, OR 97601. The listed phone number is (541) 884-7746.

What is Kevin T Heaton Do PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kevin T Heaton Do PC enrolled in Medicare?

Yes. Kevin T Heaton Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kevin T Heaton Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Kevin T Heaton Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin T Heaton Do PC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.