NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1942929849 PA-C
Verify on CMS → James Heaton, PA-C
Emergency Medicine Physician in Montgomery, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
345
Medicare Part D claims · 207 beneficiaries · Emergency Medicine Physician avg: 352
Industry payments
$25.87
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
James Heaton, PA-C filed 345 Medicare Part D claims in 2023 as an Emergency Medicine Physician in Montgomery, Ohio.
- 345
- Part D claims, 2023
- $25.87
- industry payments (Sunshine Act)
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.
James Heaton, PA-C's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
345 Top 43% higher than 57% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
James Heaton, PA-C practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Heaton, PA-C?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
345 2% vs specialty avg
Specialty distribution in Ohio
How Emergency Medicine Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
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).
James Heaton, PA-C appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding PA-C credentials at 10500 MONTGOMERY RD, Montgomery, OH, 45242, with a listed phone of (513) 865-1111. NPI 1942929849 was issued on 08/24/2022.
Medicare Part D records for calendar year 2023 show 345 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 11.0%.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1942929849 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 08/24/2022 |
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 James Heaton, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$26
Largest payer
Gilead Sciences, Inc.
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.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to James Heaton, PA-C. To verify James Heaton, PA-C's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
345
Total Claims
$5K
Total Drug Cost
207
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 345
- Total Day Supply
- 3,272
- Generic Drug Cost
- $3K
- Opioid Claims
- 38 (11.0% rate)
- Antibiotic Claims
- 70
Patient Demographics
- Average Patient Age
- 66.9 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 65, 65-74: 74, 75-84: 47, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Heaton, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ondansetron Odt
Ondansetron Odt
36 claims
- Methocarbamol
Methocarbamol
34 claims
- Naproxen
Naproxen
29 claims
- Dicyclomine Hcl
Dicyclomine Hcl
22 claims
- Ibuprofen
Ibuprofen
21 claims
- Prednisone
Prednisone
17 claims
- Cephalexin
Cephalexin
16 claims
- Oxycodone Hcl 13
Oxycodone Hcl
13 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 36 |
| Methocarbamol | 34 |
| Naproxen | 29 |
| Dicyclomine Hcl | 22 |
| Ibuprofen | 21 |
| Prednisone | 17 |
| Cephalexin | 16 |
| Oxycodone Hcl | 13 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 12 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How James Heaton, PA-C fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
James Heaton, PA-C's 345 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Heaton.
Dr. Alexandra Abangan
MD
Springfield, OH
Dr. Brian Abbott
MD
Columbus, OH
Dr. Abdalla Abdalla
MD
Lima, OH
Dr. Ali Abdallah
DO
Canton, OH
Dr. Anthony Abdullah
M.D.
Hamilton, OH
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is James Heaton, PA-C's specialty? ▼
James Heaton, PA-C specializes in Emergency Medicine Physician and practices in Montgomery, Ohio. Credentials: PA-C.
How much does James Heaton, PA-C prescribe under Medicare Part D? ▼
In 2023, James Heaton, PA-C wrote 345 Medicare Part D claims totaling $5K in drug costs for 207 beneficiaries.
Where is James Heaton, PA-C located? ▼
James Heaton, PA-C is located at 10500 MONTGOMERY RD, Montgomery, OH, 45242. Phone: (513) 865-1111.
What is James Heaton, PA-C's NPI number? ▼
James Heaton, PA-C's National Provider Identifier (NPI) is 1942929849, issued on 08/24/2022.
Does James Heaton, PA-C prescribe opioids? ▼
Yes, James Heaton, PA-C had 38 opioid claims in 2023 with an opioid prescribing rate of 11.0%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does James Heaton, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, James Heaton, PA-C's most frequently prescribed drugs include Ondansetron Odt, Methocarbamol, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Heaton, PA-C accept Medicare? ▼
James Heaton, PA-C appears in CMS Medicare data with 345 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Heaton, PA-C's credentials? ▼
James Heaton, PA-C's NPI is 1942929849 with credentials PA-C. 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 April 2026 (NPPES) / 2023 (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
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 May 2026.