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DR. GREGORY HEATON MD
NPI 1861474835
Pathology - Anatomic Pathology & Clinical Pathology in Lawrenceburg, IN

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025(812) 537-1010 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gregory Heaton Md NPPES

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

DR. GREGORY HEATON MD (NPI 1861474835) is an individual anatomic pathology & clinical pathology provider in Lawrenceburg, Indiana, licensed in Indiana (01032597) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of University Of Louisville School Of Medicine (1982).

NPPES Registry Identity

NPI1861474835
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. GREGORY HEATONCredential: MD
Location Address600 WILSON CREEK RDLawrenceburg, IN 47025-2751
Mailing AddressPo Box 2Milton, KY 40045-0002 · (800) 288-8325
Phone(812) 537-1010
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1982
Enumeration DateNovember 16, 2005
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 4, 2024
✔ NPI 1861474835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in IN · 01032597✔ Licensed in KY · 22819
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
600 WILSON CREEK RD, Lawrenceburg, IN 47025
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Other Identifiers 1

Other220020944Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Gregory 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 ID8224109798
PECOS Enrollment IDI20100316000701, I20240705000441
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
394 services258 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
218 services97 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
50 services17 patients
Cell examination of body fluid, smears 88104
Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.
47 services36 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
32 services32 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
29 services24 patients

Hospital Affiliations CMS Care Compare

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47025 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

DEARBORN COUNTY HOSPITAL WOUNDCARE
General Acute Care Hospital
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 537-8303
MS. ELIZABETH L BENJAMIN CRNA
Nurse Anesthetist, Certified Registered
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 537-1010
MANFORD ALEXANDER WRIGHT JR. MD
Hospitalist
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (859) 301-8074
MRS. SHAWN C CRANDELL R.D.,C.D., C.D.E.
Dietitian, Registered
600 WILSON CREEK RD
LAWRENCBURG, IN 47025
Dearborn County (812) 537-8134
RICHARD FREDERICK ZEGARRA II M.D.
Emergency Medicine
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 532-2700
CYNTHIA A WHITE OTR
Occupational Therapist
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 532-2607
TRACY TRAMEL APRN
Nurse Practitioner
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 537-1010
DR. WILLIAM CODY JOHNSON PHARMD
Pharmacist
600 WILSON CREEK RD
LAWRENCEBURG, IN 47025
Dearborn County (812) 537-8138

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 Gregory Heaton's NPI number?

The NPI number for Gregory Heaton is 1861474835. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Gregory Heaton located?

Gregory Heaton practices at 600 Wilson Creek Rd, Lawrenceburg, IN 47025. The listed phone number is (812) 537-1010.

What is Gregory Heaton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Gregory Heaton enrolled in Medicare?

Yes. Gregory 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 Gregory Heaton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Gregory 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.

Is Gregory Heaton affiliated with any hospitals?

According to CMS data, Gregory Heaton is affiliated with Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Heaton was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.