DR. JOSEPH HEATON MD
NPI 1629539762
Student in an Organized Health Care Education/Training Program in Neptune, NJ

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753(732) 897-3990 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joseph Heaton Md NPPES

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

DR. JOSEPH HEATON MD (NPI 1629539762) is an individual student in an organized health care education/training program in Neptune, New Jersey and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629539762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOSEPH HEATONCredential: MD
Location Address19 DAVIS AVE FL 6Neptune, NJ 07753-4488
Mailing Address19 Davis AveNeptune, NJ 07753-4488 · (732) 897-3990
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 19, 2022
NPPES CertifiedJuly 20, 2022
NPI 1629539762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

19 DAVIS AVE FL 6, Neptune, NJ 07753

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

Dr. Joseph 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.

PECOS PAC ID6103205638
PECOS Enrollment IDI20220614000565
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.

Areas of Expertise CMS Part B claims 5

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.

Follow-up hospital inpatient care per day, typically 25 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.
79 services28 patients
Initial hospital inpatient care per day, typically 70 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.
25 services24 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services18 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Rheumatology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Endocrinology, Diabetes & Metabolism)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Infectious Disease)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753
Internal Medicine (Nephrology)
19 DAVIS AVE FL 6
NEPTUNE, NJ 07753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629539762, enumerated as an "individual" on March 29, 2019.

The provider is located at 19 DAVIS AVE FL 6 NEPTUNE, NJ 07753 and the phone number is (732) 897-3990.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Joseph Heaton is affiliated with: JERSEY SHORE UNIVERSITY MEDICAL CENTER.