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TODD E HEATON M.D.
NPI 1568656957
Surgery - Pediatric Surgery in Bangor, ME

Active since August 29, 2007PECOS Enrolled
417 STATE ST., SUITE 305, WEBBER EAST, BANGOR, ME 04401(120) 797-3995(207) 973-9003 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Todd E Heaton M.d. NPPES

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

TODD E HEATON M.D. (NPI 1568656957) is an individual pediatric surgery provider in Bangor, Maine, licensed in Pennsylvania (MD428905) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1568656957
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameTODD E HEATONCredential: M.D.
Location Address417 STATE ST., SUITE 305, WEBBER EASTBangor, ME 04401
Mailing Address43 Whiting Hill Rd Ste 300Brewer, ME 04412-1006 · (207) 973-5000 · Fax (207) 973-5042
Phone(120) 797-3995
Fax(207) 973-9003
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1568656957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in PA · MD428905
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License MD428905 (MI)
417 STATE ST., Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11275 York Ave, Suite H 1315New York, NY 10065-6007 · Phone (212) 639-7966 · Fax (212) 717-3373

Other Identifiers 1

OtherMD24997ME · State Medical Board

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd E Heaton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Todd Heaton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eastern Maine Medical Center
0.2 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000
Mskcc Surgery Group
384 mi
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 clinicians in this Medicare group
NPI 1699766261 (646) 227-3813

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Todd Heaton's NPI number?

The NPI number for Todd Heaton is 1568656957. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Todd Heaton located?

Todd Heaton practices at 417 State St. Suite 305, Webber East, Bangor, ME 04401. The listed phone number is (120) 797-3995.

What is Todd Heaton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Todd Heaton enrolled in Medicare?

Yes. Todd Heaton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Todd Heaton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Heaton reassigns Medicare benefits to 2 organizations: Eastern Maine Medical Center (Bangor, ME) and Mskcc Surgery Group (New York, NY). 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 Todd Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Todd Heaton was last updated on March 28, 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.