James Heron, MD
NPI 1013964840 · Internal Medicine Physician · Wellington, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Heron, MD is a Internal Medicine Physician provider in Wellington, FL (NPI 1013964840).
Provider details
- NPI number
- 1013964840
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME85170 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,268 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 327 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 312 | $129 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 236 | $130 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 200 | $19 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 163 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 116 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 98 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 343 | 86 |
| Atorvastatin Calcium | 279 | 81 |
| Rosuvastatin Calcium | 235 | 69 |
| Levothyroxine Sodium | 209 | 51 |
| Metoprolol Succinate | 149 | 48 |
| Alprazolam | 133 | 35 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$19 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 5401 S Congress Ave#218Atlantis, FL 33462-6635Phone: (561) 968-0307Fax: (561) 968-7673
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2025-08-20
- Certified
- 2025-08-15
Frequently asked questions
- What is James Heron's NPI number?
- James Heron's National Provider Identifier (NPI) is 1013964840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Heron's specialty?
- James Heron is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Heron located?
- James Heron's practice location on file with NPPES is 8440 Lake Worth Rd Ste 240, Wellington, FL 33467.
- What is James Heron's phone number?
- The practice phone number listed in the NPPES registry for James Heron is (561) 433-0500.
- Does James Heron accept Medicare?
- James Heron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Heron's NPI active?
- Yes — James Heron's NPI (1013964840) is active in the NPPES registry as of the last update on 2025-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.