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CARLTON E HEINE MD
NPI 1851328421
Emergency Medicine in Mount Vernon, WA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2166(360) 428-2457 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Carlton E Heine Md NPPES

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

CARLTON E HEINE MD (NPI 1851328421) is an individual emergency medicine provider in Mount Vernon, Washington, licensed in Washington (MD00046107) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2003).

NPPES Registry Identity

NPI1851328421
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLTON E HEINECredential: MD
Location Address1415 E KINCAID STMount Vernon, WA 98274-4126
Mailing Address505 S 336th Street, Suite 600Federal Way, WA 98003-6328 · (253) 838-6180 · Fax (253) 838-6418
Phone(360) 428-2166
Fax(360) 428-2457
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2003
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 23, 2008
✔ NPI 1851328421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD00046107
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1415 E KINCAID ST, Mount Vernon, WA 98274
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Other Identifiers 4

Other0227813WA · Liwa
Other7196HEBswa
Medicare UPINHEI1961WA
Medicaid8463499WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Carlton E Heine 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 ID6406854488
PECOS Enrollment IDI20061130000061
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
88 services87 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98274 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

AMREEN KAUR
Internal Medicine
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
CASCADE IMAGING ASSOCIATES L.L.C.
Clinic/Center (Magnetic Resonance Imaging (MRI))
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111
DR. DANA STURTZ DPT, GCS
Physical Therapist
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2184
DR. ALLAN MICHAEL DAMIAN M.D.
Psychiatry & Neurology (Sleep Medicine)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2550
DR. PRAVEENA THAMMIREDDY MBBS
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 428-2592
GLEN MARK SUMAGIT
Student in an Organized Health Care Education/Training Program
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 814-2115
PACIFIC NORTHWEST PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (877) 425-8646
PUBLIC HOSPITAL DIST NO 1 SKAGIT
General Acute Care Hospital
1415 E KINCAID ST
MOUNT VERNON, WA 98274
Skagit County (360) 424-4111

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 Carlton Heine's NPI number?

The NPI number for Carlton Heine is 1851328421. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Carlton Heine located?

Carlton Heine practices at 1415 E Kincaid St, Mount Vernon, WA 98274. The listed phone number is (360) 428-2166.

What is Carlton Heine's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlton Heine enrolled in Medicare?

Yes. Carlton Heine 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 Carlton Heine accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Carlton Heine 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 Carlton Heine was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.