J. BEN HEATON M.D.
NPI 1902816390
General Practice in San Diego, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
16950 VIA TAZON, SAN DIEGO, CA 92127(858) 499-2777(858) 521-2001 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J. Ben Heaton M.d. NPPES

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

J. BEN HEATON M.D. (NPI 1902816390) is an individual general practice provider in San Diego, California, licensed in California (G69203) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1989).

NPPES Registry Identity

NPI1902816390
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJ. BEN HEATONCredential: M.D.
Location Address16950 VIA TAZONSan Diego, CA 92127-1607
Mailing Address16950 Via TazonSan Diego, CA 92127-1607 · (858) 499-2777 · Fax (858) 521-2001
Fax(858) 521-2001
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1989
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 19, 2013
NPI 1902816390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · G69203
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License G69203 (CA)
16950 VIA TAZON, San Diego, CA 92127

Other Identifiers 3

Medicare UPINF20207CA
Medicare ID-Type UnspecifiedWG69203ACA
Medicaid00G692030CA

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

J. Ben Heaton M.d. 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 ID6800911934
PECOS Enrollment IDI20100914000224
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 7

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.

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.
77 services76 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.
48 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services26 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
25 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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.

Physician Assistant
16950 VIA TAZON
SAN DIEGO, CA 92127
Family Medicine
16950 VIA TAZON
SAN DIEGO, CA 92127
Physician Assistant
16950 VIA TAZON
SAN DIEGO, CA 92127
Pediatrics
16950 VIA TAZON
SAN DIEGO, CA 92127
Internal Medicine
16950 VIA TAZON
SAN DIEGO, CA 92127
Physical Therapist
16950 VIA TAZON
SAN DIEGO, CA 92127
Physical Therapist
16950 VIA TAZON
SAN DIEGO, CA 92127
Speech-Language Pathologist
16950 VIA TAZON
SAN DIEGO, CA 92127

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 J. Heaton's NPI number?

The NPI number for J. Heaton is 1902816390. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is J. Heaton located?

J. Heaton practices at 16950 Via Tazon, San Diego, CA 92127. The listed phone number is (858) 499-2777.

What is J. Heaton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is J. Heaton enrolled in Medicare?

Yes. J. 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.

When was this NPI record last updated?

The NPPES record for J. Heaton was last updated on June 19, 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.