DR. KEVIN D HEATON DO
NPI 1225202237
Family Medicine - Sports Medicine in Haverhill, MA

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
62 BROWN ST STE 303, HAVERHILL, MA 01830(978) 794-1946 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, Jun 14, 2024, Feb 17, 2016 (3 updates tracked since 2016).

About Dr. Kevin D Heaton Do NPPES

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

DR. KEVIN D HEATON DO (NPI 1225202237) is an individual sports medicine provider in Haverhill, Massachusetts, licensed in Massachusetts (245591) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1225202237
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. KEVIN D HEATONCredential: DO
Location Address62 BROWN ST STE 303Haverhill, MA 01830-6790
Mailing Address575 Turnpike St Ste 21North Andover, MA 01845-5937 · (978) 794-1946 · Fax (978) 794-2342
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 22, 2008
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1225202237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in MA · 245591 Licensed in NH · 15345
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 245591 (MA), 15345 (NH)
62 BROWN ST STE 303, Haverhill, MA 01830

Other Identifiers 1

Medicaid3077761NH

Accepted 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

Dr. Kevin D Heaton Do 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 ID7911177431
PECOS Enrollment IDI20110818000834, I20210520001769
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 17

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304
Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.
1,632 services30 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,459 services194 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,440 services20 patients
Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg J7322
Hymovis is a treatment involving the injection of a substance called hyaluronan into a joint. This substance, naturally found in the body, helps lubricate and cushion your joints. The treatment can help reduce joint pain and improve mobility.
1,296 services21 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.
449 services252 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
334 services211 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01830 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 6

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

Durable Medical Equipment & Medical Supplies
62 BROWN ST STE 303
HAVERHILL, MA 01830
Durable Medical Equipment & Medical Supplies
62 BROWN ST STE 303
HAVERHILL, MA 01830
Physical Medicine & Rehabilitation
62 BROWN ST STE 303
HAVERHILL, MA 01830
Internal Medicine
62 BROWN ST STE 303
HAVERHILL, MA 01830
Orthopaedic Surgery
62 BROWN ST STE 303
HAVERHILL, MA 01830
Internal Medicine
62 BROWN ST STE 303
HAVERHILL, MA 01830

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 Heaton's NPI number?

The NPI number for Kevin Heaton is 1225202237. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Kevin Heaton located?

Kevin Heaton practices at 62 Brown St Ste 303, Haverhill, MA 01830. The listed phone number is (978) 794-1946.

What is Kevin Heaton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kevin Heaton enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Heaton accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Kevin Heaton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Heaton affiliated with any hospitals?

According to CMS data, Kevin Heaton is affiliated with Lawrence General Hospital and Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Heaton was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.