James Heaton, M.D.
NPI 1245551902 · Emergency Medicine Physician · Nags Head, NC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Heaton, M.D. is a Emergency Medicine Physician provider in Nags Head, NC (NPI 1245551902).
Provider details
- NPI number
- 1245551902
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 233639 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
366 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 201 | $118 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 113 | $173 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 38 | $70 |
| Critical Care, First 30-74 Minutes99291 | 14 | $208 |
Typical Medicare-allowed amounts for these services range $70–$208 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 21 | 21 |
| Prednisone | 15 | 15 |
| Methylprednisolone | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 530 S Jackson StDepartment of Emergency Medicine #c1h17Louisville, KY 40202-1675Phone: (502) 852-5689Fax: (502) 852-0066
- 1144 N Road StElizabeth City, NC 27909Phone: (252) 335-0531
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2023-02-27
- Certified
- 2023-02-27
Frequently asked questions
- What is James Heaton's NPI number?
- James Heaton's National Provider Identifier (NPI) is 1245551902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Heaton's specialty?
- James Heaton is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Heaton located?
- James Heaton's practice location on file with NPPES is 4800 S Croatan Hwy, Nags Head, NC 27959-9704.
- What is James Heaton's phone number?
- The practice phone number listed in the NPPES registry for James Heaton is (252) 449-5600.
- Does James Heaton accept Medicare?
- James Heaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Heaton's NPI active?
- Yes — James Heaton's NPI (1245551902) is active in the NPPES registry as of the last update on 2023-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.