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BERTON HEATON MD
NPI 1417336090
Obstetrics & Gynecology - Gynecology in Minneapolis, MN

Active since May 28, 2015PECOS EnrolledAccepts Medicare Assignment
5124 SHERIDAN AVE S, MINNEAPOLIS, MN 55410(952) 240-9342 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berton Heaton Md NPPES

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

BERTON HEATON MD (NPI 1417336090) is an individual gynecology provider in Minneapolis, Minnesota, licensed in Minnesota (67208) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2015).

NPPES Registry Identity

NPI1417336090
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameBERTON HEATONCredential: MD
Location Address5124 SHERIDAN AVE SMinneapolis, MN 55410-2237
Mailing Address5124 Sheridan Ave SMinneapolis, MN 55410-2237 · (952) 240-9342
Phone(952) 240-9342
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2015
Enumeration DateMay 28, 2015
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1417336090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MN · 67208
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
5124 SHERIDAN AVE S, Minneapolis, MN 55410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Berton Heaton Md 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 ID941632459
PECOS Enrollment IDI20200701000921
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

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.

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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55410 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Berton Heaton's NPI number?

The NPI number for Berton Heaton is 1417336090. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Berton Heaton located?

Berton Heaton practices at 5124 Sheridan Ave S, Minneapolis, MN 55410. The listed phone number is (952) 240-9342.

What is Berton Heaton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Berton Heaton enrolled in Medicare?

Yes. Berton 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 Berton Heaton accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Berton 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 Berton Heaton was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.