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2026 NPPES data Urology Physician NPI 1245248236 MD PC
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Brian Heaton, MD PC

Urology Physician in Ogden, Utah.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
594
Medicare Part D claims · 254 beneficiaries · Urology Physician avg: 1K
MIPS score
93.3/100
▲ 10 pts above national avg 83.5 · Exceptional
Industry payments
$715.49
32 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Brian Heaton, MD PC reported a CMS MIPS final score of 93.3/100 - above the 83.5 national average - and filed 594 Medicare Part D claims in 2024.

93.3/100
MIPS score · +10 vs avg
594
Part D claims, 2024
Likely
board-certified (heuristic)
≥69th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Brian Heaton, MD PC

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1245248236), first enumerated 08/04/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 594 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 93.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $715.49 in reported industry payments (32 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1245248236 · Urology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1245248236
  • ENUM-LEGACY 2006
  • TAX-MID 14K Urology Physician
  • MIPS-ABOVE 93.3/100
  • RX-LIGHT 594
  • BOOK-THIN 96 in Utah
  • PHOTO-FINISH Joseph Heineman · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Brian Heaton, MD PC's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

93 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Brian Heaton, MD PC sits

This provider among urology physician peers

Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Heaton, MD PC writes more Part D claims than 27% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Brian Heaton, MD PC, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Brian Heaton, MD PC. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Brian Heaton, MD PC practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Brian Heaton, MD PC?

High performer (top quartile)

NPI registry status

Active

Issued 08/04/2006

NPI 1245248236

Primary specialty

Urology Physician

Mid-sized

13,606 US NPIs in this specialty

Medicare Part D claims

594 56% vs specialty avg

2024 prescription claims

Specialty avg: 1,354

MIPS final score

93.3/100 9.8 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Utah

How Urology Physician compares to other specialties among Utah providers

Utah providers
Behavior Technician13%Clinical Social Worker6.3%Community Health Worker5.9%Case Manager/Care Coordinator5.7%Counselor4.7%Student in an Organized Heal…4.5%Urology Physician0.1%
Largest specialties in Utah (% of in-state providers)

Medicare quality performance, MIPS

Brian Heaton, MD PC's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
93.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%93.3%
MIPS final score (Urology Physician) - 93.3/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

4403 HARRISON BLVD
Ogden, UT 84403
(801) 387-4550

Provider Details

NPI 1245248236
Specialty Urology Physician
Credentials MD PC
Gender Male
NPI Issued 08/04/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

93.3313
Final Score
Measured-score avg: 83.5
86.6626
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Brian Heaton, MD PC. Source: openpaymentsdata.cms.gov.

Total received

$715

Largest payer

Boston Scientific Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

594
Total Claims
$472K
Total Drug Cost
254
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
955.833
Total Day Supply
22,633
Generic Drug Cost
$10K
Opioid Claims
116 (19.5% rate)
Antibiotic Claims
119

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.46
Gender Split
28% female / 72% male
Age Distribution
<65: 18, 65-74: 110, 75-84: 92, 85+: 34

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Brian Heaton, MD PC prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
 116
Finasteride
 67
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
51
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
48
Ciprofloxacin Hcl
 40
Xtandi
Enzalutamide
27
Myrbetriq
Mirabegron
19
Levofloxacin
 17
Bicalutamide
 14
Cefuroxime
Cefuroxime Axetil
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Urology Physician in UT → All providers in Utah → Compare specialties →

Urology Physician Overview

How Brian Heaton, MD PC fits within the Urology Physician landscape nationally.

13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider

Brian Heaton, MD PC's 594 claims are below the specialty average of 1,354.

Nationwide Urology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Heaton, both outside Utah so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (93.3 here).

Brian Hopkins 93.3 CA Kaveh Homayoon 93.4 AZ Layne Rousseau 93.4 AZ Joseph Heineman 93.3 RI

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Christian Hettinger Overland Park, KS Lester Borden Greensboro, NC Jeffery Vaught Greenwood, IN Stuart Boyd Los Angeles, CA

Nearby Urology Physician Providers in Utah

Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Heaton.

One of 96 Urology Physician providers enrolled in Utah, 5 are shown here.

Dr. David Adams
M.D.
St George, UT
Dr. Joseph Armstrong
M.D.
Provo, UT
Dr. Shane Barney
MD
St George, UT
Dr. Mitchell Bassett
MD
Logan, UT
Elizabeth Boyer
PA-C
Murray, UT

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Brian Heaton, MD PC's specialty? ▼
Brian Heaton, MD PC specializes in Urology Physician and practices in Ogden, Utah. Credentials: MD PC.
How much does Brian Heaton, MD PC prescribe under Medicare Part D? ▼
In 2024, Brian Heaton, MD PC wrote 594 Medicare Part D claims totaling $472K in drug costs for 254 beneficiaries.
What is Brian Heaton, MD PC's Medicare quality score? ▼
Brian Heaton, MD PC has a CMS MIPS Final Score of 93.3/100 (Quality: 86.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Heaton, MD PC located? ▼
Brian Heaton, MD PC is located at 4403 HARRISON BLVD, Ogden, UT, 84403. Phone: (801) 387-4550.
What is Brian Heaton, MD PC's NPI number? ▼
Brian Heaton, MD PC's National Provider Identifier (NPI) is 1245248236, issued on 08/04/2006.
Does Brian Heaton, MD PC prescribe opioids? ▼
Yes, Brian Heaton, MD PC had 116 opioid claims in 2024 with an opioid prescribing rate of 19.5%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Brian Heaton, MD PC prescribe most often? ▼
Based on 2024 Medicare Part D data, Brian Heaton, MD PC's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Heaton, MD PC accept Medicare? ▼
Brian Heaton, MD PC appears in CMS Medicare data with 594 Part D claims and 254 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Heaton, MD PC's credentials? ▼
Brian Heaton, MD PC's NPI is 1245248236 with credentials MD PC. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.