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JAMES HEATON PA-C
NPI 1942929849
Physician Assistant in Cincinnati, OH

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment
3219 CLIFTON AVE STE 400A, CINCINNATI, OH 45220(513) 246-2400(513) 861-5267 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Aug 24, 2022 (2 updates tracked since 2022).

About James Heaton Pa-c NPPES

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

JAMES HEATON PA-C (NPI 1942929849) is an individual physician assistant in Cincinnati, Ohio, licensed in Ohio (50.007720RX) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1942929849
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAMES HEATONCredential: PA-C
Location Address3219 CLIFTON AVE STE 400ACincinnati, OH 45220-3027
Mailing Address3219 Clifton Ave Ste 400aCincinnati, OH 45220-3027 · (513) 246-2400 · Fax (513) 861-5267
Phone(513) 246-2400
Fax(513) 861-5267
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1942929849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.007720RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 50.007720RX (OH)
3219 CLIFTON AVE STE 400A, Cincinnati, OH 45220
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Secondary Practice Location 1

Location 110500 Montgomery RdMontgomery, OH 45242-4402 · Phone (513) 865-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

James Heaton Pa-c 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 ID3870961519
PECOS Enrollment IDI20221130001143
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.

Hospital Affiliations CMS Care Compare

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 2

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

MADISON CHASTAIN
Registered Nurse
3219 CLIFTON AVE STE 400A
CINCINNATI, OH 45220
Hamilton County (513) 246-2535
HALEY SOWARDS RN
Registered Nurse
3219 CLIFTON AVE STE 400A
CINCINNATI, OH 45220
Hamilton County (513) 246-2400

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 James Heaton's NPI number?

The NPI number for James Heaton is 1942929849. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is James Heaton located?

James Heaton practices at 3219 Clifton Ave Ste 400A, Cincinnati, OH 45220. The listed phone number is (513) 246-2400.

What is James Heaton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is James Heaton enrolled in Medicare?

Yes. James 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 James Heaton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list James 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 James Heaton affiliated with any hospitals?

According to CMS data, James Heaton is affiliated with Bethesda North.

When was this NPI record last updated?

The NPPES record for James Heaton was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.