Darien Heron, M.D.
NPI 1821078726ActiveIndividual· Internal Medicine· Scotts Valley, CA
Internal Medicine (M.D.) with Sutter Bay Medical Foundation, practicing in Scotts Valley, California. Their prescriptions cost Medicare Part D more than their services did: $378,612 for 6,002 claims, against $139,661 paid for services in 2024.
Overview
| NPI | 1821078726 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 18, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | A84358 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 488 |
|---|---|
| Services billed | 2,032 across 59 procedure codes |
| Paid by Medicare | $139,661 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,002 · 13,534 30-day fills |
|---|---|
| Patients | 528 |
| Total drug cost | $378,612 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
Other facilities
- Bridge Home HealthHome health agency · Salinas, CA
- Sutter Care at HomeHome health agency · Santa Cruz, CA
- Hospice of Santa Cruz CountyHospice · Scotts Valley, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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