Sean Heron, M.D.
NPI 1164486262 · Urology Physician · St Petersburg, FL
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Heron, M.D. is a Urology Physician provider in St Petersburg, FL (NPI 1164486262).
Provider details
- NPI number
- 1164486262
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME68349 (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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,594 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) |
|---|---|---|
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 787 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 744 | $132 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 508 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 203 | $93 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 172 | $7 |
| Limited Ultrasound Scan Behind Abdominal Cavity |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 944 | 325 |
| Dutasteride | 359 | 125 |
| Finasteride | 346 | 107 |
| Alfuzosin Hclbrand: Alfuzosin Hcl Er | 102 | 35 |
| Mirabegronbrand: Myrbetriq | 100 | 42 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 70 | 48 |
| Testosterone Cypionate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,119 across 102 records (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
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2023-11-29
- Certified
- 2021-03-23
Frequently asked questions
- What is Sean Heron's NPI number?
- Sean Heron's National Provider Identifier (NPI) is 1164486262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Heron's specialty?
- Sean Heron is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Heron located?
- Sean Heron's practice location on file with NPPES is 5747 38th Ave N, St Petersburg, FL 33710-1925.
- What is Sean Heron's phone number?
- The practice phone number listed in the NPPES registry for Sean Heron is (727) 381-8667.
- Does Sean Heron accept Medicare?
- Sean Heron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Heron's NPI active?
- Yes — Sean Heron's NPI (1164486262) is active in the NPPES registry as of the last update on 2023-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.