Kevin Heaton, MD
NPI 1255771804 · Internal Medicine Physician · Boston, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Heaton, MD is a Internal Medicine Physician provider in Boston, MA (NPI 1255771804).
Provider details
- NPI number
- 1255771804
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- L-255576 (MA)
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
12 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
1,254 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) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 418 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 343 | $139 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 232 | $141 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 88 | $194 |
| Administration of Influenza Virus VaccineG0008 | 52 | $35 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 534 | 161 |
| Amlodipine Besylate | 269 | 81 |
| Lisinopril | 200 | 64 |
| Omeprazole | 184 | 68 |
| Rosuvastatin Calcium | 171 | 58 |
| Tamsulosin Hcl | 149 | 48 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 2 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
- 2013-06-27
- Last updated
- 2013-06-27
Frequently asked questions
- What is Kevin Heaton's NPI number?
- Kevin Heaton's National Provider Identifier (NPI) is 1255771804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Heaton's specialty?
- Kevin Heaton is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Heaton located?
- Kevin Heaton's practice location on file with NPPES is 55 Fruit St., Boston, MA 02114.
- What is Kevin Heaton's phone number?
- The practice phone number listed in the NPPES registry for Kevin Heaton is (617) 724-6620.
- Does Kevin Heaton accept Medicare?
- Kevin Heaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Heaton's NPI active?
- Yes — Kevin Heaton's NPI (1255771804) is active in the NPPES registry as of the last update on 2013-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.