NPPES file of Aug 9, 2026

J. Ben Heaton, M.D.

General Practice Physician · San Diego, CA

J. Ben Heaton, M.D. is a general practice physician with a practice address in San Diego, California, and NPI 1902816390, issued on Aug 8, 2006. Check the license (California G69203, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1902816390
Name
J. Ben Heaton
Credential
M.D.
Primary taxonomy
General Practice Physician 208D00000X
License number
G69203 CA
Self-reported in NPPES; status is on the state search
Practice location
16950 Via Tazon, San Diego, CA 92127
Phone
(858) 499-2777
Enumerated
Aug 8, 2006
Record last updated
Jun 19, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(858) 521-2001
Medicaid ID
00G692030 CA
Medicare enrollment
Enrolled (PECOS I20100914000224); accepts Medicare assignment
Medical or professional school
University Of Utah School Of Medicine, 1989
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 16950 Via Tazon

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amy Abola, M.D.Family Medicine Physician1306854898
  2. Marie Adamson, M.D.Family Medicine Physician1518938950
  3. Lanza AttishaPhysical Therapist1396599874
  4. Stephen Ball, DPTPhysical Therapist1437644044
  5. Stephen Beeson, M.D.Family Medicine Physician1740390186
  6. Christopher Best, DPTPhysical Therapist1942594486

Verify J. Ben Heaton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license G69203
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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94% fewer Medicare Part D claims than the average general practice physician in 2024

186 Medicare Part D claims for 158 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.

  1. J. Heaton186
  2. Specialty average3,030

Most prescribed

  1. Cephalexin23 claims
  2. Amoxicillin-Clavulanate Potass17 claims
  3. Doxycycline Monohydrate16 claims
  4. Albuterol Sulfate Hfa12 claims
  5. Doxycycline Hyclate11 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 practice group's MIPS final score for 2023 (Medicare payment program): 73.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.6
  2. Costout of 100 · 30%58.7
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Sharp Rees-Stealy Medical Group IncSan Diego, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

J. Ben Heaton among 1,956 general practice physician records in California

J. Ben Heaton, M.D. is one of 1,956 general practice physician records with a practice address in California. 48% 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 5% of them.

  • NPI issued2006 · 5% of these records are older, 66% newer
  • In a Medicare fileYes · 48% of these records are
  • In the CMS Doctors and Clinicians fileYes · 27% of these records are
  • Graduated1989 · median 1994 among the 520 with a school on file
  • Record last updated2013 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

General Practice Physician providers in California

There are 1,956 general practice physician records in California.

The 8 general practice physician records with the nearest ZIP codes

  1. Ann Casco, L.AC.San Diego, CA 921271275691669
  2. Daniel Smith, M.D.San Diego, CA 921271336152909
  3. Searle Turner, M.D.San Diego, CA 921271467885889
  4. Zhiqiao Dong, MDSan Diego, CA 921261275118739
  5. Gerald Durkan, MDSan Diego, CA 921261831689793
  6. Brendon Farrell, DOSan Diego, CA 921261891298220
  7. Katherine Kelly, MDSan Diego, CA 921261578252045
  8. David Rios, M.D.San Diego, CA 921261336552900

Common questions

What is J. Ben Heaton, M.D.'s NPI number?

J. Ben Heaton, M.D.'s National Provider Identifier (NPI) is 1902816390, issued on Aug 8, 2006. An NPI identifies a provider in billing; it is not a license.

Where is J. Ben Heaton, M.D. located?

The NPPES record lists a practice address at 16950 Via Tazon, San Diego, CA, 92127. Phone: (858) 499-2777. Providers update this record themselves, so call before visiting.

How can I verify J. Ben Heaton, M.D.'s license?

NPPES lists California license number G69203, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does J. Ben Heaton, M.D. prescribe under Medicare Part D?

In 2024, J. Ben Heaton, M.D. had 186 Medicare Part D claims for 158 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.

What is J. Ben Heaton, M.D.'s MIPS final score?

The 2023 MIPS final score is 73.6 of 100, reported for the practice group. 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.