Kyle Heron, MD
NPI 1912918962 · Pain Medicine (Anesthesiology) Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Heron, MD is a Pain Medicine (Anesthesiology) Physician provider in Modesto, CA (NPI 1912918962).
Provider details
- NPI number
- 1912918962
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G83786 (CA)
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
19 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
2,558 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 | 1,172 | $93 |
| Electronic Analysis Reprogramming and Refill of Spinal Canal Drug Infusion Pump By Physician62370 | 354 | $40 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 290 | $137 |
| Injection of Anesthetic Or Steroid Into Joint Between Lower Spine and Hip Bone Using Imaging Guidance27096 | 94 | $93 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 76 | $131 |
| Aspiration And/Or Injection of Fluid From Large Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 54 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 1,350 | 295 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 480 | 88 |
| Oxycodone Hcl | 430 | 68 |
| Methadone Hcl | 314 | 45 |
| Tizanidine Hcl | 288 | 47 |
| Morphine Sulfatebrand: Morphine Sulfate Er | 275 | 46 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,467 across 39 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
- 2006-08-11
- Last updated
- 2020-05-26
- Certified
- 2020-05-26
Frequently asked questions
- What is Kyle Heron's NPI number?
- Kyle Heron's National Provider Identifier (NPI) is 1912918962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Heron's specialty?
- Kyle Heron is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Kyle Heron located?
- Kyle Heron's practice location on file with NPPES is 4016 Dale Rd, Modesto, CA 95356-9268.
- What is Kyle Heron's phone number?
- The practice phone number listed in the NPPES registry for Kyle Heron is (209) 571-0288.
- Does Kyle Heron accept Medicare?
- Kyle Heron is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Heron's NPI active?
- Yes — Kyle Heron's NPI (1912918962) is active in the NPPES registry as of the last update on 2020-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.