J. Ben Heaton, M.D.
NPI 1902816390ActiveIndividual· General Practice· San Diego, CA
General Practice (M.D.) in San Diego, California, trained at University of Utah School of Medicine (class of 1989). 192 Medicare patients in 2024, $18,160 paid; nearly all of their 186 Part D prescriptions were generic (91%).
Overview
| NPI | 1902816390 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jun 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | G69203 | CA |
| Emergency Medicine | 207P00000X | G69203 | CA |
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 - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 192 |
|---|---|
| Services billed | 321 across 32 procedure codes |
| Paid by Medicare | $18,160 |
Part D prescriptions in 2024
| Prescriptions (claims) | 186 · 186 30-day fills |
|---|---|
| Patients | 158 |
| Total drug cost | $3,063 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Emergency Medicine |
Medical group
- Sharp Rees-Stealy Medical Group IncSan Diego, CA · 884 clinicians
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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All 289 general practitioners in San Diego · All general practitioners in California