Dr. Brian Kent Heaberlin, MD
- Medicare services, 2024
- 4,812
- Medicare patients, 2024
- 724
- Part D claims, 2024
- 1,215
- MIPS score, 2024
- 84
- Hospital affiliations
- 1
- Practice address
- 811 W Main St, Lexington, SC 29072
- Practice phone
- Call (803) 936-7035
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lmc Lexington
Lexington, South Carolina
Find Dr. Heaberlin'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. Brian Kent Heaberlin is an otolaryngologist in Lexington, South Carolina
Dr. Heaberlin practices at Lmc Lexington in Lexington, South Carolina.
Dr. Heaberlin's NPI, 1992730493, was assigned on July 12, 2006. Dr. Heaberlin graduated from Marshall University Joan C. Edwards School of Medicine in 2001. Dr. Heaberlin holds South Carolina license 52550.
- NPI
- 1992730493NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3971408584
- NPI enumeration date
- July 12, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (803) 936-7035
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 51
- Medical school graduation
- 2001
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Brian Kent Heaberlin practices at Lmc Lexington in Lexington, South Carolina
Dr. Heaberlin's primary practice is Lmc Lexington, at 811 W Main St, Lexington, SC 29072 in Lexington County. The practice phone is (803) 936-7035.
- Lmc Lexington811 W Main St, Lexington, SC 29072 · Lexington CountyPhone(803) 936-7035
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Brian Kent Heaberlin is affiliated with 3 sites of care and 2 medical groups
Dr. Heaberlin's primary practice is Lmc Lexington in Lexington, South Carolina. Dr. Heaberlin is also affiliated with Lexington Medical Center. The medical group on file is Lexington Orthopaedics and Sports Medicine. Dmand AI also links Dr. Heaberlin to 1 more group practice or clinic and 1 medical group, each 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. Brian Kent Heaberlin's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Heaberlin practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lmc Lexington | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Brian Kent Heaberlin is one of 155 otolaryngologists in South Carolina
Otolaryngology is Dr. Heaberlin's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Heaberlin is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery. Dmand AI has Dr. Heaberlin's licenses on file in 3 states: South Carolina, Ohio and West Virginia.
Specialties and state licenses
- Otolaryngology, South CarolinaPrimary
- Ohio license
- Plastic surgery within the head and neck (otolaryngology), West Virginia
Clinical focus
Dmand AI lists acute sinusitis, chronic ear infection, chronic nasal allergies, chronic sinusitis, ear eustachian tube disorders, ear infection, endoscopic sinus surgery and hearing loss and impairment among the conditions Dr. Heaberlin treats.
Otolaryngologists near Dr. Heaberlin
Counts of otolaryngologists 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. Brian Kent Heaberlin billed Medicare for 4,812 services in 2024
CMS data shows 4,812 Medicare services from Dr. Heaberlin across 16 procedure codes in 2024, for 724 Medicare patients. Medicare paid $147,179 for them. Every service was in an office.
Dr. Heaberlin's Medicare services by type, 2024
- Tests and treatments3,090
- Office and hospital visits1,127
- Surgery595
Dr. Heaberlin compared with the South Carolina median for otolaryngologists, 2024
- Dr. Heaberlin
- South Carolina median
- Medicare services
- 4,812vs 1,1664.1 times
- Medicare patients
- 724vs 41375% above
- Part D claims
- 1,031vs 2304.5 times
Medians across 153 otolaryngologists in South Carolina with Dmand AI profiles that report each measure.
Dr. Heaberlin'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.
Need commercial claims for Dr. Heaberlin?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Heaberlin and other otolaryngologists in South Carolina.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Brian Kent Heaberlin treated 724 Medicare patients in 2024, average age 75
CMS counts 724 Medicare patients who saw Dr. Heaberlin in 2024. The largest group is 65 to 74, with 331 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 2% are also on Medicaid. Their average risk score is 0.97, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Heaberlin's median patient age at 60, with 63% women.
Dr. Heaberlin's Medicare patients by age, 2024
Dr. Heaberlin's Medicare patients by sex, 2024
- Women42959%
- Men29541%
Chronic conditions among Dr. Heaberlin's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis53%
- Ischemic heart disease30%
- Diabetes28%
- Anxiety26%
- Mood disorders22%
- Depression21%
Share of Medicare patients with each condition. A patient can have several.
Dr. Heaberlin's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 60
Patient panel by sex, all payers
- Women63%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Brian Kent Heaberlin wrote 1,215 Medicare Part D claims in 2024
In 2024, Dr. Heaberlin wrote 1,215 Medicare Part D claims for 427 patients. 92% of them were for generic drugs. CMS names the drug for 1,031 of them, across 21 drugs with 11 or more claims each, at $24,219 in total drug cost.
Dr. Heaberlin's Part D claims by kind of drug, 2024
- Generic1,113 claims92%
- Brand-name102 claims8%
Dr. Heaberlin'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. Heaberlin's Part D claims, 2024
- Opioids2%30 of 1,215 claims
- Antibiotics8%101 of 1,215 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
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. Brian Kent Heaberlin scored 84 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Heaberlin for performance year 2024, reported as part of a group. Dr. Heaberlin accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Heaberlin's MIPS scores, performance year 2024
- 84of 100Final score
- 68.9of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 78of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Removal of skin lesions: 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. Brian Kent Heaberlin received $175 in industry payments from 2024 to 2025
CMS Open Payments shows 8 general payments to Dr. Heaberlin from 7 drug and device companies from 2024 to 2025. Food and beverage make up the largest share, 100% of the total. Aerin Medical Inc. paid the most, $37.
General payments to Dr. Heaberlin by program year, 2024 to 2025
Companies that paid Dr. Heaberlin the most, 2024 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Brian Kent Heaberlin has 1 award and honors on record
Dmand AI lists 1 award for Dr. Heaberlin, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Heaberlin
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. Brian Kent Heaberlin graduated from Marshall University Joan C. Edwards School of Medicine
Dr. Heaberlin graduated from Marshall University Joan C. Edwards School of Medicine in 2001.
- Medical school
- Board certified in otolaryngology
Source: Dmand AI Professional Profile Data
Dr. Brian Kent Heaberlin accepts plans from 18 insurance carriers
Dr. Heaberlin is in network with 18 carriers, including Aetna, HCSC and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Aetna
- HCSC
- United Healthcare
- Elevance
- Molina
- Aspirus Health Plan
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Michigan
- +10 more carriersWith a free account
Plan types Dr. Heaberlin accepts, by number of carriers
- PPO11
- HMO8
- Medicare8
- EPO4
- POS4
- Medicaid2
Source: Dmand AI Insurance Network Data
Sources for Dr. Brian Kent Heaberlin'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) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| 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. Brian Kent Heaberlin
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. Brian Kent Heaberlin's NPI number?
Dr. Brian Kent Heaberlin's NPI number is 1992730493. It was assigned on July 12, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Brian Kent Heaberlin?
Dr. Brian Kent Heaberlin is an otolaryngologist in Lexington, South Carolina. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).
Where does Dr. Brian Kent Heaberlin practice?
Dr. Heaberlin practices at 811 W Main St, Lexington, SC 29072. Dr. Heaberlin's primary practice is Lmc Lexington in Lexington, South Carolina. Dmand AI also links Dr. Heaberlin to 1 group practice or clinic and 1 medical group.
What is Dr. Brian Kent Heaberlin's office phone number?
The practice phone on file for Dr. Heaberlin is (803) 936-7035.
What is Dr. Brian Kent Heaberlin's medical license number?
Dr. Heaberlin holds South Carolina license 52550, one of the licenses on file in 3 states.
Which states has Dr. Brian Kent Heaberlin been licensed in?
Dmand AI has state licenses on file for Dr. Heaberlin in South Carolina (2018 to 2027), Ohio (2013 to 2021) and West Virginia (2006 to 2020).
Which hospitals is Dr. Brian Kent Heaberlin affiliated with?
Dr. Heaberlin is affiliated with Lexington Medical Center.
What medical group is Dr. Brian Kent Heaberlin part of?
Dr. Heaberlin is linked to Lexington Orthopaedics and Sports Medicine. Dmand AI links Dr. Heaberlin to 1 more medical group.
Does Dr. Brian Kent Heaberlin accept Medicare?
Yes. CMS data shows Dr. Heaberlin billed Medicare for 4,812 services in 2024, and Dr. Heaberlin accepts Medicare assignment.
What is Dr. Brian Kent Heaberlin's MIPS score?
Dr. Heaberlin's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.
Show 8 more questionsShow fewer questions
How many Medicare patients does Dr. Brian Kent Heaberlin see?
CMS counts 724 Medicare patients who saw Dr. Heaberlin in 2024, with an average age of 75.
Is Dr. Brian Kent Heaberlin board certified?
Yes. Dr. Heaberlin is board certified in otolaryngology by the American Board of Otolaryngology - Head and Neck Surgery.
What services does Dr. Brian Kent Heaberlin bill to Medicare?
In 2024, Dr. Heaberlin's most billed Medicare services were allergy test or treatment (95024), allergy test or treatment (95004) and allergy test or treatment (95165).
Where did Dr. Brian Kent Heaberlin go to medical school?
Dr. Heaberlin graduated from Marshall University Joan C. Edwards School of Medicine in 2001.
What drugs does Dr. Brian Kent Heaberlin prescribe most?
In 2024 Medicare Part D data, Dr. Heaberlin's most prescribed drugs by claims were Fluticasone Propionate, Ipratropium Bromide and Montelukast Sodium.
Has Dr. Brian Kent Heaberlin received payments from drug or device companies?
CMS Open Payments shows $175 in general payments to Dr. Heaberlin from 7 companies from 2024 to 2025. The largest total came from Aerin Medical Inc.
How long has Dr. Brian Kent Heaberlin been practicing?
Dr. Heaberlin graduated from medical school in 2001, 25 years ago.
What insurance does Dr. Brian Kent Heaberlin accept?
Dr. Heaberlin is in network with 18 carriers, including Aetna, HCSC and United Healthcare. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
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