Fred M. Heaton, DO
NPI 1720039027ActiveIndividual· Family Medicine· Roaring Spring, PA
Family Medicine (DO) in Roaring Spring, Pennsylvania, trained at Philadelphia College of Osteopathic Medicine (class of 2005). Their prescriptions cost Medicare Part D more than their services did: $1,307,809 for 11,296 claims, against $85,995 paid for services in 2024. Novo Nordisk Inc was the largest of 10 companies reporting payments in 2025, $329.17 in all, mostly food and beverage.
Overview
| NPI | 1720039027 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Sep 26, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS013765 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 278 |
|---|---|
| Services billed | 1,536 across 47 procedure codes |
| Paid by Medicare | $85,995 |
Part D prescriptions in 2024
| Prescriptions (claims) | 11,296 · 25,009 30-day fills |
|---|---|
| Patients | 722 |
| Total drug cost | $1,307,809 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Family Practice |
Medical group
- Heaton Family Practice, LLCRoaring Spring, PA · 3 clinicians
Hospital affiliations
- Conemaugh Nason Medical CenterRoaring Spring, PA
- Upmc AltoonaAltoona, PA
- Upmc Bedford MemorialEverett, PA
Other facilities
- Nason Hospital Home Health AgencyHome health agency · Roaring Spring, PA
- Upmc Home Healthcare of Central PennsylvaniaHome health agency · Altoona, PA
- Gentiva IIHospice · Altoona, PA
- Homewood Living Martinsburg, IncNursing home · Martinsburg, PA
Industry payments (Open Payments)
- 2025$329.17 · 19 payments from 10 companies
- 2024$281.97 · 17 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $87.08 | 5 |
| Exact Sciences Corporation | $52.35 | 2 |
| Lilly USA, LLC | $38.73 | 2 |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $31.63 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $31.45 | 3 |
What the 2025 payments were for
- Food and Beverage$329.17 · 19 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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