Michelle Heaton, D.O.
NPI 1821364738 · Psychiatry Physician · Waukesha, WI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Heaton, D.O. is a Psychiatry Physician provider in Waukesha, WI (NPI 1821364738).
Provider details
- NPI number
- 1821364738
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 61739-21 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 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
431 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 273 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 118 | $169 |
| 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 | 40 | $15 |
Typical Medicare-allowed amounts for these services range $15–$169 (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 · 76 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lamotrigine | 432 | 58 |
| Trazodone Hcl | 383 | 71 |
| Bupropion Hclbrand: Bupropion Xl | 357 | 61 |
| Aripiprazole | 329 | 51 |
| Clonazepam | 287 | 46 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 252 | 39 |
| Quetiapine Fumarate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 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
Registry dates
- Enumerated
- 2012-03-25
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Frequently asked questions
- What is Michelle Heaton's NPI number?
- Michelle Heaton's National Provider Identifier (NPI) is 1821364738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Heaton's specialty?
- Michelle Heaton is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Michelle Heaton located?
- Michelle Heaton's practice location on file with NPPES is 721 American Ave Ste 501, Waukesha, WI 53188-5071.
- What is Michelle Heaton's phone number?
- The practice phone number listed in the NPPES registry for Michelle Heaton is (262) 928-4036.
- Does Michelle Heaton accept Medicare?
- Michelle Heaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Heaton's NPI active?
- Yes — Michelle Heaton's NPI (1821364738) is active in the NPPES registry as of the last update on 2024-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.