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DR. TRAVIS GLENN HEATON DDS
NPI 1265783310
Dentist - General Practice in Tyler, TX

Active since September 28, 2012PECOS Enrolled
4700 KINSEY DR, TYLER, TX 75703(903) 245-9413 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Travis Glenn Heaton Dds NPPES

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

DR. TRAVIS GLENN HEATON DDS (NPI 1265783310) is an individual general practice provider in Tyler, Texas, licensed in Texas (28244) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265783310
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRAVIS GLENN HEATONCredential: DDS
Location Address4700 KINSEY DRTyler, TX 75703-1009
Mailing Address4700 Kinsey DrTyler, TX 75703-1009 · (903) 245-9413
Phone(903) 245-9413
Sole ProprietorYes
Enumeration DateSeptember 28, 2012
✔ NPI 1265783310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 28244
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4700 KINSEY DR, Tyler, TX 75703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Travis Glenn Heaton Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Travis Heaton's NPI number?

The NPI number for Travis Heaton is 1265783310. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Travis Heaton located?

Travis Heaton practices at 4700 Kinsey Dr, Tyler, TX 75703. The listed phone number is (903) 245-9413.

What is Travis Heaton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Travis Heaton enrolled in Medicare?

Yes. Travis Heaton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Travis Heaton was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.