THOMAS HEATON DO
NPI 1497490064
Family Medicine in Rapid City, SD

Q: What is Thomas Heaton's NPI number?

The NPI number for Thomas Heaton is 1497490064. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Q: What is Thomas Heaton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Heaton was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 28, 2022PECOS EnrolledAccepts Medicare Assignment

640 FLORMANN ST, RAPID CITY, SD 57701(605) 755-3300 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Apr 28, 2022 (2 updates tracked since 2022).

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About Thomas Heaton Do NPPES

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

THOMAS HEATON DO (NPI 1497490064) is an individual family medicine provider in Rapid City, South Dakota, licensed in South Dakota (18053) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2022).

NPPES Registry Identity

NPI1497490064

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS HEATONCredential: DO

Location Address640 FLORMANN STRapid City, SD 57701-4679

Mailing Address640 Flormann StRapid City, SD 57701-4679 · (605) 755-3300

Phone(605) 755-3300

Sole ProprietorNo

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022

Enumeration DateApril 28, 2022

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1497490064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 18053

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

640 FLORMANN ST, Rapid City, SD 57701

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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 and accepts Medicare assignment

Thomas 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.

PECOS PAC ID547642977

PECOS Enrollment IDI20260302001889

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.

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

KAYLA SAYER

Nurse Practitioner (Family)