J. BEN HEATON M.D.
NPI 1902816390
General Practice in San Diego, CA
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
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show J. Heaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organization bills Medicare for J. Heaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), J. Heaton reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J. Heaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# J. Ben Heaton, M.D. · NPI 1902816390
General Practice physician in San Diego, California. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1902816390 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** G69203 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16950 VIA TAZON, San Diego, CA 92127-1607
- **Phone:** (858) 499-2777 · **Fax:** (858) 521-2001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** June 19, 2013
- **Other identifiers:** Medicare UPIN F20207 (CA); Medicare ID-Type Unspecified WG69203A (CA); Medicaid 00G692030 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902816390) · Data from the CMS NPPES public registry.