NPPES file of Aug 9, 2026

James David Heaton, M.D.

Emergency Medicine Physician · Nags Head, NC

James David Heaton, M.D. is an emergency medicine physician with a practice address in Nags Head, North Carolina, and NPI 1245551902, issued on Jun 17, 2010. Check the license (North Carolina 233639, as entered in NPPES) on the North Carolina Medical Board; 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
1245551902
Name
James David Heaton
Credential
M.D.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
233639 NC
Self-reported in NPPES; status is on the state search
Practice location
4800 S Croatan Hwy, Nags Head, NC 27959
Phone
(252) 449-5600
Enumerated
Jun 17, 2010
Record last updated
Feb 27, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4800 S Croatan Hwy

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

  1. Benjamin Alexander, M.D.Pediatrics Physician1114945987
  2. Rani Buglione, D.O.Pediatrics Physician1295272615
  3. Christine Coleman, NPFamily Nurse Practitioner1639627623
  4. Denise De Pedro, NBC-HWCHealth & Wellness Coach1922689199
  5. Paige Durantini, RNFamily Nurse Practitioner1689486912
  6. Rachel Elibri, NPAdult Health Nurse Practitioner1598426223

Verify James David Heaton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 233639
    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 North Carolina license search

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19% fewer Medicare Part D claims than the average emergency medicine physician in 2024

182 Medicare Part D claims for 122 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 26 claims were for opioids.

  1. James Heaton182
  2. Specialty average226

Most prescribed

  1. Hydrocodone-Acetaminophen21 claims
  2. Prednisone15 claims
  3. Methylprednisolone11 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): 98.3 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.

  1. Qualityout of 100 · 30% of the final score82.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

James David Heaton among 2,094 emergency medicine physician records in North Carolina

James David Heaton, M.D. is one of 2,094 emergency medicine physician records with a practice address in North Carolina. 81% 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 55% of them.

  • NPI issued2010 · 55% of these records are older, 42% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileNo · 63% of these records are
  • Record last updated2023 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

12 emergency medicine physician records list a practice address in Nags Head

They are 12 of the 146 NPPES records with a practice address in Nags Head, and 2,094 emergency medicine physician records in North Carolina.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Philip Hall, DONags Head, NC 279591790166197
  2. Laura Helfman, MDNags Head, NC 279591730136755
  3. Kimberly Keith, M.D.Nags Head, NC 279591619961836
  4. John Lois, D.O.Nags Head, NC 279591093761157
  5. Amanda Marker, DONags Head, NC 279591285211003
  6. Alix McDonald-Smith, M.D.Nags Head, NC 279591659576023
  7. Scott McPherson, M.D.Nags Head, NC 279591710927371
  8. Linda Morway, M.D.Nags Head, NC 279591659328417

Common questions

What is James David Heaton, M.D.'s NPI number?

James David Heaton, M.D.'s National Provider Identifier (NPI) is 1245551902, issued on Jun 17, 2010. An NPI identifies a provider in billing; it is not a license.

Where is James David Heaton, M.D. located?

The NPPES record lists a practice address at 4800 S Croatan Hwy, Nags Head, NC, 27959. Phone: (252) 449-5600. Providers update this record themselves, so call before visiting.

How can I verify James David Heaton, M.D.'s license?

NPPES lists North Carolina license number 233639, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James David Heaton, M.D. prescribe under Medicare Part D?

In 2024, James David Heaton, M.D. had 182 Medicare Part D claims for 122 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is James David Heaton, M.D.'s MIPS final score?

The 2023 MIPS final score is 98.3 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.