Douglas Alan Heighton, M.D.
Family Medicine Physician · Carthage, IL
Douglas Alan Heighton, M.D. is a family medicine physician with a practice address in Carthage, Illinois, and NPI 1184661076, issued on Jun 1, 2006. Check the license (Illinois 036.124727, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Douglas Alan Heighton
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 036.124727 IL
035..077436 OH
Self-reported in NPPES; status is on the state search - Practice location
- 630 Locust St, Carthage, IL 62321
- Phone
- (217) 357-2173
- Enumerated
- Jun 1, 2006
- Record last updated
- Jan 28, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (217) 357-3610
- Medicare enrollment
- Enrolled (PECOS I20100714000728); accepts Medicare assignment
- Medical or professional school
- Wright State University Boonshoft School Of Medicine, 1998
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 6,215 in Illinois → Look up another NPI →
Also registered at 630 Locust St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Krista Carle, APN-BCNurse Practitioner1851559751
- Philip Caropreso, M.D.Surgery Physician1851331185
- Katherine RuebushPhysical Therapist1992469522
- Daveda Voss, NPFamily Nurse Practitioner1710212535
Verify Douglas Alan Heighton 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 036.124727Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.4 times the Medicare Part D claims of the average family medicine physician in 2024
8,462 Medicare Part D claims for 408 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 320 claims were for opioids.
Most prescribed
- Atorvastatin Calcium456 claims
- Lisinopril389 claims
- Gabapentin329 claims
- Levothyroxine Sodium329 claims
- Omeprazole280 claims
- Losartan Potassium236 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): 95 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 one group practice
- Memorial Hospital AssociationColchester, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Douglas Alan Heighton among 6,215 family medicine physician records in Illinois
Douglas Alan Heighton, M.D. is one of 6,215 family medicine physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 59% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1998 · median 2006 among the 3,714 with a school on file
- Record last updated2011 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3 family medicine physician records list a practice address in Carthage
They are 3 of the 82 NPPES records with a practice address in Carthage, and 6,215 family medicine physician records in Illinois.
All 6,215 in Illinois → Every provider in Carthage → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jennifer Allen, M.D.Carthage, IL 623211285685388
- Rosalinda Campos, M.DCarthage, IL 623211134578420
- Jeffrey Leon, PA CBowen, IL 623161508831520
- Adesina Adedeji, MDQuincy, IL 623051104560762
- Steven Ginos, M.D.Quincy, IL 623051740298942
- Matthew Harrison, D.O.Quincy, IL 623051235171463
- Christina Peterson, DOQuincy, IL 623051467193128
- Luc Tchapnda, MDQuincy, IL 623051801044763
Common questions
What is Douglas Alan Heighton, M.D.'s NPI number?
Douglas Alan Heighton, M.D.'s National Provider Identifier (NPI) is 1184661076, issued on Jun 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Douglas Alan Heighton, M.D. located?
The NPPES record lists a practice address at 630 Locust St, Carthage, IL, 62321. Phone: (217) 357-2173. Providers update this record themselves, so call before visiting.
How can I verify Douglas Alan Heighton, M.D.'s license?
NPPES lists Illinois license number 036.124727, 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 Douglas Alan Heighton, M.D. prescribe under Medicare Part D?
In 2024, Douglas Alan Heighton, M.D. had 8,462 Medicare Part D claims for 408 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Douglas Alan Heighton, M.D.'s MIPS final score?
The 2023 MIPS final score is 95 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.