DR. KYLE B HERON MD
NPI 1912918962
Anesthesiology - Pain Medicine in Modesto, CA

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
72.93/100
CMS Quality Rating
4016 DALE RD, MODESTO, CA 95356(209) 571-0288(209) 571-0327 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2020, Oct 8, 2019, Aug 27, 2019 and 3 more (6 updates tracked since 2019).

About Dr. Kyle B Heron Md NPPES

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

DR. KYLE B HERON MD (NPI 1912918962) is an individual pain medicine provider in Modesto, California, licensed in California (G83786) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1993).

NPPES Registry Identity

NPI1912918962
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. KYLE B HERONCredential: MD
Location Address4016 DALE RDModesto, CA 95356-9268
Mailing Address4016 Dale RdModesto, CA 95356-9268 · (209) 571-0288 · Fax (209) 338-6156
Fax(209) 571-0327
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1993
Enumeration DateAugust 11, 2006
Last NPPES UpdateMay 26, 20206 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
NPI 1912918962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · G83786
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License G83786 (CA)
4016 DALE RD, Modesto, CA 95356

Other Identifiers 1

Other11628489CA · Caqh

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. Kyle B Heron 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 ID42387581
PECOS Enrollment IDI20080924000586
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 21

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 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.
1,172 services348 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
354 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
290 services101 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
94 services77 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
69 services58 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.

72.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.05
Promoting Interoperability59
Improvement Activities40

Reported Quality Measures

Advance Care Plan
81%794 patients4/55-star benchmark: 100%
Breast Cancer Screening
0%576 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
42%24 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,123 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
0%43 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%43 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
23%4,985 patients1/55-star benchmark: 100%
e-Prescribing
100%541 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%1,474 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%4,795 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 1,290 patients
Patients screened: 96% · 1,290 patients
19%182 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
66%1,023 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%45 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Sending Health Information
1%416 patients1/55-star benchmark: 97%
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.

Other Providers at the Same Location NPPES 12

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

Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Clinic/Center (Ambulatory Surgical)
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Pain Medicine (Interventional Pain Medicine)
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356
Neurological Surgery
4016 DALE RD
MODESTO, CA 95356

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 Kyle Heron's NPI number?

The NPI number for Kyle Heron is 1912918962. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kyle Heron located?

Kyle Heron practices at 4016 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 571-0288.

What is Kyle Heron's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Kyle Heron enrolled in Medicare?

Yes. Kyle Heron 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 Kyle Heron was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.