MR. WILLIAM H HEATON MD
NPI 1710049689
Internal Medicine - Cardiovascular Disease in Florence, AL

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
87.98/100
CMS Quality Rating
201 E DR HICKS BLVD, FLORENCE, AL 35630(256) 766-8570(256) 766-5183 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. William H Heaton Md NPPES

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

MR. WILLIAM H HEATON MD (NPI 1710049689) is an individual cardiovascular disease provider in Florence, Alabama, licensed in Alabama (8244) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1973).

NPPES Registry Identity

NPI1710049689
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. WILLIAM H HEATONCredential: MD
Location Address201 E DR HICKS BLVDFlorence, AL 35630-5767
Mailing Address201 E Dr Hicks BlvdFlorence, AL 35630-5767 · (256) 766-8570 · Fax (256) 766-5183
Fax(256) 766-5183
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1973
Enumeration DateDecember 15, 2006
Last NPPES UpdateJanuary 24, 2013
NPI 1710049689 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 AL · 8244
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.
201 E DR HICKS BLVD, Florence, AL 35630

Other Identifiers 15

Other51040314AL · Bcbs
Medicare ID-Type Unspecified000003685AL
Other51590951AL · Bcbs
Medicaid00116093MS
Other51591410AL · Bcbs
Other051003685AL · Bcbs
Other51590952AL · Bcbs
Medicare UPINC71694AL
Medicaid4170606TN
Other2510126United Healthcare
Other51590953AL · Bcbs
Other10332TN · Bcbs Tn
Other060037831Palmetto Gba Rr Medicare
Medicaid000003685AL
Other20395Healthspring Of Al

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

Mr. William H 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 ID4981598216
PECOS Enrollment IDI20040209001059
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 33

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,236 services635 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
1,134 services615 patients
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.
425 services391 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
336 services113 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
306 services153 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
277 services88 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35630 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

87.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.37
Improvement Activities40
Cost94.13

Reported Quality Measures

Controlling High Blood Pressure
73%1,172 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
89%286 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,962 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%1,701 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 737 patients
Patients screened: 80% · 737 patients
75%44 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,330 patients
Patients totalRate: 3% · 1,330 patients
3%1,330 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$55.48 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$15.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers88 claims88 services$89.94 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier12 claims12 services$2,286.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Interventional Cardiology)
201 E DR HICKS BLVD
FLORENCE, AL 35630
Internal Medicine (Cardiovascular Disease)
201 E DR HICKS BLVD
FLORENCE, AL 35630

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 William Heaton's NPI number?

The NPI number for William Heaton is 1710049689. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is William Heaton located?

William Heaton practices at 201 E Dr Hicks Blvd, Florence, AL 35630. The listed phone number is (256) 766-8570.

What is William Heaton's specialty?

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

Is William Heaton enrolled in Medicare?

Yes. William Heaton 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.

What insurance does William Heaton accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list William Heaton 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.

When was this NPI record last updated?

The NPPES record for William Heaton was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.