KEVIN T HEATON DO
NPI 1467474569
Orthopaedic Surgery in Klamath Falls, OR
About Kevin T Heaton Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN T HEATON DO (NPI 1467474569) is an individual orthopaedic surgery provider in Klamath Falls, Oregon, licensed in Oregon (DO22887) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sky Lakes Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1997).
NPPES Registry Identity
Specialties & Licenses 2
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Other Identifiers 5
Accepted 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
Kevin T Heaton Do 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.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sky Lakes Medical Center
Acute Care Hospitals · Klamath Falls, ORLake District Hospital
Critical Access Hospitals · Lakeview, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 2% | 578 |
| Controlling High Blood Pressure | 75% | 40 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 100% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 73 |
| Documentation of Current Medications in the Medical Record | 88% | 1121 |
| e-Prescribing | 19% | 513 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 13% | 891 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 25% | 820 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 82% | 297 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 4% | 24 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 90% | 297 |
| Provide Patients Electronic Access to Their Health Information | 80% | 1058 |
| Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS) | 0.03% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 526 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 526 |
| Use of High-Risk Medications in Older Adults | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 526 |
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
KLAMATH FALLS, OR 97601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467474569, enumerated as an "individual" on July 25, 2006.
The provider is located at 2200 BRYANT WILLIAMS DRIVE SUITE 1 KLAMATH FALLS, OR 97601 and the phone number is (541) 884-7746.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.
Kevin Heaton is affiliated with: SKY LAKES MEDICAL CENTER and LAKE DISTRICT HOSPITAL.
