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DR. BENJAMIN J HEATON M.D.
NPI 1245468586
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Great Falls, MT

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
1401 25TH ST S, GREAT FALLS, MT 59405(406) 455-3650(406) 731-8318 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Benjamin J Heaton M.d. NPPES

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

DR. BENJAMIN J HEATON M.D. (NPI 1245468586) is an individual preventive medicine/occupational environmental medicine provider in Great Falls, Montana, licensed in Montana (173389) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2009).

NPPES Registry Identity

NPI1245468586
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameDR. BENJAMIN J HEATONCredential: M.D.
Location Address1401 25TH ST SGreat Falls, MT 59405-5183
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8817 · Fax (406) 731-8318
Phone(406) 455-3650
Fax(406) 731-8318
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2009
Enumeration DateJune 25, 2009
Last NPPES UpdateApril 29, 2026
NPPES CertifiedApril 29, 2026
✔ NPI 1245468586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in MT · 173389
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
1401 25TH ST S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Location 1

Location 1WHMC/GE - 2200 Bergquist Drive, Suite1,, Lackland AFBSan Antonio, TX 78236-5300 · Phone (210) 292-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin J 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 ID1759647209
PECOS Enrollment IDI20260514001309
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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Heaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benefis Hospitals Inc
Same address
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1780968974 (406) 455-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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 20

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

RETTE MARIE RILEY OLSEN DNP, APRN, FNP-C
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ELIAS J. BAIED DO
Internal Medicine (Infectious Disease)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ADRIENNE MARY KRYSIAK
Emergency Medicine
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
KAYTLIN G DEVENEY PA
Physician Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
SYDNE SKAER
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MORRIS LYNN JESSOP M.D.
Urology
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
ANDREA LYNN DUDDINGTON
Physical Therapy Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8930
WILLIAM E HENNING DO
Psychiatry & Neurology (Neurology)
1401 25TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8817

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 Benjamin Heaton's NPI number?

The NPI number for Benjamin Heaton is 1245468586. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Benjamin Heaton located?

Benjamin Heaton practices at 1401 25th St S, Great Falls, MT 59405. The listed phone number is (406) 455-3650.

What is Benjamin Heaton's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Benjamin Heaton enrolled in Medicare?

Yes. Benjamin 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.

Which organization bills Medicare for Benjamin Heaton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Heaton reassigns Medicare benefits to Benefis Hospitals Inc (Great Falls, MT). The 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 Benjamin Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Heaton accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Heaton was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.