BERTON HEATON MD
NPI 1417336090
Obstetrics & Gynecology - Gynecology in Minneapolis, MN
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, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Kentucky College Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Berton Heaton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1720339716 (Minnesota)
- 3,733 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician 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.
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.
Which organizations bill Medicare for Berton Heaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berton Heaton reassigns Medicare benefits to 2 organizations: Allina Health System (Edina, MN) and Fairview Clinics (Edina, MN). Each 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 Berton Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Berton Heaton accept?
Health plans from 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.
Is Berton Heaton affiliated with any hospitals?
According to CMS data, Berton Heaton is affiliated with M Health Fairview University Of Mn.
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 15 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.
# Berton Heaton, MD · NPI 1417336090
Gynecology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 28, 2015.
## Identity
- **NPI:** 1417336090 (Entity type: Individual)
- **Enumerated:** May 28, 2015
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **State license:** 67208 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5124 SHERIDAN AVE S, Minneapolis, MN 55410-2237
- **Phone:** (952) 240-9342
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1033365853, Edina, MN); Fairview Clinics (NPI 1013383355, Edina, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417336090) · Data from the CMS NPPES public registry.