Benjamin Thomas Heatwole, M.D.
Hospitalist Physician · Winfield, IL
Benjamin Thomas Heatwole, M.D. is a hospitalist physician with a practice address in Winfield, Illinois, and NPI 1871819128, issued on Apr 12, 2010. Check the license (Illinois 036132531, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Benjamin Thomas Heatwole
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- 036132531 IL
Self-reported in NPPES; status is on the state search - Practice location
- 25 N Winfield RD, Winfield, IL 60190
- Phone
- (630) 456-7178
- Enumerated
- Apr 12, 2010
- Record last updated
- May 2, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210415001746); accepts Medicare assignment
- Medical or professional school
- Pennsylvania State University College Of Medicine, 2010
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 1,535 in Illinois → Look up another NPI →
Also registered at 25 N Winfield RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Benjamin Thomas Heatwole in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036132531Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% fewer Medicare Part D claims than the average hospitalist physician in 2024
273 Medicare Part D claims for 144 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D.
Most prescribed
- Cefpodoxime Proxetil31 claims
- Prednisone17 claims
- Lisinopril12 claims
- Amlodipine Besylate11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 96.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Lowell General Inpatient Specialists PLLCLowell, MA
- Winchester Lahey Inpatient Specialists PLLCWinchester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Benjamin Thomas Heatwole among 1,535 hospitalist physician records in Illinois
Benjamin Thomas Heatwole, M.D. is one of 1,535 hospitalist physician records with a practice address in Illinois. 92% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 30% of them.
- NPI issued2010 · 30% of these records are older, 65% newer
- In a Medicare fileYes · 92% of these records are
- In the CMS Doctors and Clinicians fileYes · 87% of these records are
- Graduated2010 · median 2013 among the 1,339 with a school on file
- Record last updated2019 · 32% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
74 hospitalist physician records list a practice address in Winfield
They are 74 of the 778 NPPES records with a practice address in Winfield, and 1,535 hospitalist physician records in Illinois.
All 1,535 in Illinois → Every provider in Winfield → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Anju Agarwal, DOWinfield, IL 601901952335671
- Nathan Bolden, M.D.Winfield, IL 601901124292727
- Joan Garvey, M.D.Winfield, IL 601901891989703
- Gail Gizzo-Waitley, MDWinfield, IL 601901518954270
- Patrick Gordon, MDWinfield, IL 601901538181375
- Victoria Greenfield, MDWinfield, IL 601901881801165
- John Hardek, M.D.Winfield, IL 601901710945126
- Kashif Janjua, M.D.Winfield, IL 601901558522730
Common questions
What is Benjamin Thomas Heatwole, M.D.'s NPI number?
Benjamin Thomas Heatwole, M.D.'s National Provider Identifier (NPI) is 1871819128, issued on Apr 12, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Benjamin Thomas Heatwole, M.D. located?
The NPPES record lists a practice address at 25 N Winfield RD, Winfield, IL, 60190. Phone: (630) 456-7178. Providers update this record themselves, so call before visiting.
How can I verify Benjamin Thomas Heatwole, M.D.'s license?
NPPES lists Illinois license number 036132531, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Benjamin Thomas Heatwole, M.D. prescribe under Medicare Part D?
In 2024, Benjamin Thomas Heatwole, M.D. had 273 Medicare Part D claims for 144 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Benjamin Thomas Heatwole, M.D.'s MIPS final score?
The 2023 MIPS final score is 96.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.