Dr. J. Ben Heaton, MD
- Medicare services, 2024
- 246
- Medicare patients, 2024
- 192
- Part D claims, 2024
- 186
- MIPS score, 2024
- 89
- Affiliated sites
- 1
- Practice address
- 5651 Copley Dr, San Diego, CA 92111
- Practice phone
- Call (858) 262-6666
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Sharp Rees-Stealy Medical Group, Inc
San Diego, California
Find Dr. Heaton's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. J. Ben Heaton is a general practice physician in San Diego, California
Dr. Heaton practices at Sharp Rees-Stealy Medical Group, Inc in San Diego, California.
Dr. Heaton's NPI, 1902816390, was assigned on August 8, 2006. Dr. Heaton graduated from Spencer Fox Eccles School of Medicine in 1989. Dr. Heaton's California license number on file is G69203.
- NPI
- 1902816390NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6800911934
- NPI enumeration date
- August 8, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (858) 262-6666
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 63
- Medical school graduation
- 1989
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. J. Ben Heaton practices at Sharp Rees-Stealy Medical Group, Inc in San Diego, California
Dr. Heaton's primary practice is Sharp Rees-Stealy Medical Group, Inc, at 5651 Copley Dr, San Diego, CA 92111 in San Diego County. The practice phone is (858) 262-6666.
- Sharp Rees-Stealy Medical Group, Inc5651 Copley Dr, San Diego, CA 92111 · San Diego CountyPhone(858) 262-6666
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. J. Ben Heaton is affiliated with 2 sites of care and 1 medical group
Dr. Heaton's primary practice is Sharp Rees-Stealy Medical Group, Inc in San Diego, California. The medical group on file is Sharp Rees-Stealy Medical Group. Dmand AI also links Dr. Heaton to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. J. Ben Heaton's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Heaton practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. J. Ben Heaton is one of 1,526 general practice physicians in California
General practice is Dr. Heaton's primary specialty in the NPI Registry, under taxonomy code 208D00000X. Dr. Heaton has a license on file in California.
Specialties and state licenses
- General practice, CaliforniaPrimary
General practice physicians near Dr. Heaton
Counts of general practice physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. J. Ben Heaton billed Medicare for 246 services in 2024
CMS data shows 246 Medicare services from Dr. Heaton across 7 procedure codes in 2024, for 192 Medicare patients. Medicare paid $15,062 for them. Every service was in an office.
Dr. Heaton's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1752024: 1824%
- Lab and pathology
- 2023: 192024: 51168%
- Surgery
- 2023: 112024: 1318%
Dr. Heaton compared with the California median for general practice physicians, 2024
- Dr. Heaton
- California median
- Medicare services
- 246vs 2626% below
- Medicare patients
- 192vs 13641% above
- Part D claims
- 79vs 19259% below
Medians across 1,114 general practice physicians in California with Dmand AI profiles that report each measure.
Dr. Heaton's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. J. Ben Heaton treated 192 Medicare patients in 2024, average age 74
CMS counts 192 Medicare patients who saw Dr. Heaton in 2024. The largest group is 65 to 74, with 98 patients. 65% of them have high cholesterol, and 64% have high blood pressure. 13% are also on Medicaid. Their average risk score is 0.99, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Heaton's median patient age at 48, with 60% women.
Dr. Heaton's Medicare patients by age, 2024
Dr. Heaton's Medicare patients by sex, 2024
- Women12867%
- Men6433%
Chronic conditions among Dr. Heaton's Medicare patients, 2024
- High cholesterol65%
- High blood pressure64%
- Arthritis49%
- Anxiety20%
- Diabetes20%
- Ischemic heart disease19%
- Mood disorders18%
- Osteoporosis18%
Share of Medicare patients with each condition. A patient can have several.
Dr. Heaton's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 48
Patient panel by sex, all payers
- Women60%
- Men39%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. J. Ben Heaton wrote 186 Medicare Part D claims in 2024
In 2024, Dr. Heaton wrote 186 Medicare Part D claims for 158 patients. 91% of them were for generic drugs. CMS names the drug for 79 of them, across 5 drugs with 11 or more claims each, at $774 in total drug cost. In 2023, CMS named 62 claims across 3 drugs.
Dr. Heaton's Part D claims by kind of drug, 2024
- Generic169 claims91%
- Brand-name17 claims9%
Dr. Heaton's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Heaton's Part D claims, 2024
- Antibiotics49%92 of 186 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 622024: 7927%
Drugs named by CMS: 5 in 2024, 3 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. J. Ben Heaton scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Heaton for performance year 2024, reported as part of a group. Dr. Heaton accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Heaton's MIPS scores, performance year 2024
- 89of 100Final score
- 81of 100Quality
- 99of 100Promoting Interoperability
- 40of 100Improvement Activities
- 82of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Removal of nail tissue: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. J. Ben Heaton graduated from Spencer Fox Eccles School of Medicine
Dr. Heaton graduated from Spencer Fox Eccles School of Medicine in 1989.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. J. Ben Heaton accepts plans from 5 insurance carriers
Dr. Heaton is in network with 5 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Blue Cross and Blue Shield of Kansas City. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Blue Cross and Blue Shield of Kansas City
- CMS Medicare
- Elevance
Plan types Dr. Heaton accepts, by number of carriers
- HMO3
- POS2
- PPO2
- EPO1
- Medicare1
Source: Dmand AI Insurance Network Data
Sources for Dr. J. Ben Heaton's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. J. Ben Heaton
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. J. Ben Heaton's NPI number?
Dr. J. Ben Heaton's NPI number is 1902816390. It was assigned on August 8, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. J. Ben Heaton?
Dr. J. Ben Heaton is a general practice physician in San Diego, California. The primary specialty in the NPI Registry is General Practice Physician (taxonomy code 208D00000X).
Where does Dr. J. Ben Heaton practice?
Dr. Heaton practices at 5651 Copley Dr, San Diego, CA 92111. Dr. Heaton's primary practice is Sharp Rees-Stealy Medical Group, Inc in San Diego, California. Dmand AI also links Dr. Heaton to 1 group practice or clinic.
What is Dr. J. Ben Heaton's office phone number?
The practice phone on file for Dr. Heaton is (858) 262-6666.
What is Dr. J. Ben Heaton's medical license number?
Dr. Heaton's California license number on file is G69203.
What medical group is Dr. J. Ben Heaton part of?
Dr. Heaton is linked to Sharp Rees-Stealy Medical Group.
Does Dr. J. Ben Heaton accept Medicare?
Yes. CMS data shows Dr. Heaton billed Medicare for 246 services in 2024, and Dr. Heaton accepts Medicare assignment.
What is Dr. J. Ben Heaton's MIPS score?
Dr. Heaton's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
How many Medicare patients does Dr. J. Ben Heaton see?
CMS counts 192 Medicare patients who saw Dr. Heaton in 2024, with an average age of 74.
What services does Dr. J. Ben Heaton bill to Medicare?
In 2024, Dr. Heaton's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and office visit, new patient (99203).
Show 4 more questionsShow fewer questions
Where did Dr. J. Ben Heaton go to medical school?
Dr. Heaton graduated from Spencer Fox Eccles School of Medicine in 1989.
What drugs does Dr. J. Ben Heaton prescribe most?
In 2024 Medicare Part D data, Dr. Heaton's most prescribed drugs by claims were Cephalexin, Amoxicillin-Clavulanate Potass and Doxycycline Monohydrate.
How long has Dr. J. Ben Heaton been practicing?
Dr. Heaton graduated from medical school in 1989, 37 years ago.
What insurance does Dr. J. Ben Heaton accept?
Dr. Heaton is in network with 5 carriers, including Blue Cross Blue Shield of Michigan, United Healthcare and Blue Cross and Blue Shield of Kansas City. HMO plans come from the most carriers, 3. Check the plan with the practice before a visit.
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