Carlton Heine, MD
NPI 1851328421 · Emergency Medicine Physician · Mount Vernon, WA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlton Heine, MD is a Emergency Medicine Physician provider in Mount Vernon, WA (NPI 1851328421).
Provider details
- NPI number
- 1851328421
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD00046107 (WA)
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
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
129 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 High Level of Medical Decision Making99285 | 88 | $217 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 24 | $149 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $80 |
Typical Medicare-allowed amounts for these services range $80–$217 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2008-05-23
Frequently asked questions
- What is Carlton Heine's NPI number?
- Carlton Heine's National Provider Identifier (NPI) is 1851328421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlton Heine's specialty?
- Carlton Heine is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlton Heine located?
- Carlton Heine's practice location on file with NPPES is 1415 E Kincaid St, Mount Vernon, WA 98274-4126.
- What is Carlton Heine's phone number?
- The practice phone number listed in the NPPES registry for Carlton Heine is (360) 428-2166.
- Does Carlton Heine accept Medicare?
- Carlton Heine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlton Heine's NPI active?
- Yes — Carlton Heine's NPI (1851328421) is active in the NPPES registry as of the last update on 2008-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.