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DR. BRIAN PAUL HEARON M.D.
NPI 1437112836
Internal Medicine - Cardiovascular Disease in Hickory, NC

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
1771 TATE BLVD SE, SUITE 201, HICKORY, NC 28602(828) 324-4804(828) 324-7256 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brian Paul Hearon M.d. NPPES

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

DR. BRIAN PAUL HEARON M.D. (NPI 1437112836) is an individual cardiovascular disease provider in Hickory, North Carolina, licensed in North Carolina (000025312) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Mississippi School Of Medicine (1977).

NPPES Registry Identity

NPI1437112836
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. BRIAN PAUL HEARONCredential: M.D.
Location Address1771 TATE BLVD SE, SUITE 201Hickory, NC 28602-4249
Mailing Address1771 Tate Blvd Se, Suite 201Hickory, NC 28602-4249 · (828) 324-4804 · Fax (828) 324-7256
Phone(828) 324-4804
Fax(828) 324-7256
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1977
Enumeration DateApril 8, 2006
Last NPPES UpdateSeptember 14, 2022
NPPES CertifiedSeptember 14, 2022
✔ NPI 1437112836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 000025312
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1771 TATE BLVD SE, Hickory, NC 28602
Open in Google Maps ↗

Other Identifiers 2

Other40881NC · Bcbs Of Nc Provider Id#
Medicaid8940881NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Brian Paul Hearon 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 ID1355374877
PECOS Enrollment IDI20100111000123
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 Reassignments

3

Medicare enrollment records show Brian Hearon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Frye Medical Group LLC
Same address
Orthopaedic Surgery
1771 TATE BLVD SE STE 101
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 228 clinicians in this Medicare group
NPI 1780358176 (828) 815-5110
Dlp Rutherford Physician Practices LLC
40 mi
Rural Health
605 NC 120 HWY
Mooresboro, NC 28114
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
NPI 1063196327 (828) 453-0703
Dlp Western Carolina Physician Practices LLC
93 mi
Diagnostic Radiology
262 LEROY GEORGE DR
Clyde, NC 28721
  • Reassigned Medicare billing, North Carolina enrollment
  • 456 clinicians in this Medicare group
NPI 1932925062 (615) 920-7000

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 7

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
272 services257 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services34 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
27 services25 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 16

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

CATAWBA VALLEY INTERNAL MEDICINE PA
Internal Medicine
1771 TATE BLVD SE, SUITE 103
HICKORY, NC 28602
Catawba County (828) 322-1128
UNIFOUR SURGICAL ASSOICATES, PA
Surgery
1771 TATE BLVD SE, SUITE 101
HICKORY, NC 28602
Catawba County (828) 322-9105
HICKORY CARDIOLOGY ASSOCIATES PLLC
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804
CATAWBA VALLEY INTERNAL MEDICINE
Psychiatry & Neurology (Psychiatry)
1771 TATE BLVD SE, STE 103
HICKORY, NC 28602
Catawba County (828) 322-1128
DR. THOMAS MICHAEL WILEY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804
PROFESSIONAL SLEEP DIAGNOSTICS
Clinic/Center (Sleep Disorder Diagnostic)
1771 TATE BLVD SE, SUITE #102
HICKORY, NC 28602
Catawba County (828) 485-2955
DLP CARDIOLOGY PHYSICIANS LLC
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, STE 201
HICKORY, NC 28602
Catawba County (615) 920-7000
DR. SANJAY KUMAR PATEL M.D.
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Catawba County (828) 324-4804

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 Brian Hearon's NPI number?

The NPI number for Brian Hearon is 1437112836. It was assigned to this individual provider in the NPPES registry on April 8, 2006.

Where is Brian Hearon located?

Brian Hearon practices at 1771 Tate Blvd SE Suite 201, Hickory, NC 28602. The listed phone number is (828) 324-4804.

What is Brian Hearon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Hearon enrolled in Medicare?

Yes. Brian Hearon 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 Brian Hearon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Hearon reassigns Medicare benefits to 3 organizations: Dlp Frye Medical Group LLC (Hickory, NC), Dlp Rutherford Physician Practices LLC (Mooresboro, NC) and Dlp Western Carolina Physician Practices LLC (Clyde, NC). 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 Brian Hearon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Hearon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Brian Hearon 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 Brian Hearon affiliated with any hospitals?

According to CMS data, Brian Hearon is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Rutherford Regional Medical Center, Frye Regional Medical Center and Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Hearon was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.