NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1225051089 MD
Verify on CMS → Kim Heaton, MD
Emergency Medicine Physician in Taylorsville, 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 66,293 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
254
Medicare Part D claims · 207 beneficiaries · Emergency Medicine Physician avg: 355
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Kim Heaton, MD filed 254 Medicare Part D claims in 2024 as an Emergency Medicine Physician in Taylorsville, Utah, prescribing 93% generic.
- 254
- Part D claims, 2024
- 93%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (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 Kim Heaton, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225051089), first enumerated 07/25/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 254 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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.
Compare Heaton with other Emergency Medicine Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Utah
- Dr. Chad Agy, MD Murray, UT
- Dr. Elizabeth Albert, MD Park City, UT
- Dr. Angela Alexander, MD Moab, UT
- Dr. Nicholas Allan, MD Cedar City, UT
- Dr. Robert Alley, MD Ogden, UT
- Dr. Lisbeth Ambrosius, DVM Salt Lake City, UT
Other specialties in Taylorsville: Behavior Technician (1,326) · Counselor (689) · Clinical Social Worker (102) · Case Manager/Care Coordinator (77)
CMS NPPES provider registry desk
NPI 1225051089 · Emergency Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1225051089
- ENUM-LEGACY 2006
- TAX-MEGA 66K Emergency Medicine
- RX-LIGHT 254
- BOOK-THIN 430 in Utah
- PHOTO-ENUM Sharona Schneid, MD · 2006
Kim Heaton, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
254 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Kim Heaton, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Kim Heaton, MD?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
254 28% vs specialty avg
Specialty distribution in Utah
How Emergency Medicine Physician compares to other specialties among Utah 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).
Practice Address
Provider Details
| NPI | 1225051089 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/25/2006 |
Hospital and facility affiliations
Facilities where Kim Heaton, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Ihc Health Services Inc
Murray, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Kim Heaton, MD - brand share 7.0%
Emergency Medicine Physician average
7% brand-name claims vs 93% generic, on 254 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
254
Total Claims
$2K
Total Drug Cost
207
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 260.667
- Total Day Supply
- 2,604
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $138
- Generic Drug Cost
- $2K
- Antibiotic Claims
- 132
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.01
- Gender Split
- 71% female / 29% male
- Age Distribution
- <65: 25, 65-74: 108, 75-84: 53, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Kim Heaton, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Doxycycline Monohy…
Doxycycline Monohydrate
53 claims
- Cephalexin
Cephalexin
32 claims
- Amoxicillin 20
Amoxicillin
20 claims
- Ciprofloxacin Hcl 15
Ciprofloxacin Hcl
15 claims
- Diclofenac Potassium 14
Diclofenac Potassium
14 claims
- Prednisone 14
Prednisone
14 claims
- Lidocaine Hcl Visc… 12
Lidocaine Hcl Viscous
12 claims
| Drug | Claims |
|---|---|
| Doxycycline Monohydrate | 53 |
| Cephalexin | 32 |
| Amoxicillin | 20 |
| Ciprofloxacin Hcl | 15 |
| Diclofenac Potassium | 14 |
| Prednisone | 14 |
| Lidocaine Hcl Viscous Lidocaine Hcl | 12 |
* 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 Kim Heaton, MD fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
Kim Heaton, MD's 254 claims are below the specialty average of 355.
Nationwide Emergency Medicine 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.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine 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 430 Emergency Medicine Physician providers enrolled in Utah, 11 are shown on this page.
Dr. Carrie Anderson
DVM
Salt Lake City, UT
Dr. Christopher Anderson
MD
Murray, UT
Dr. Dean Anderson
M.D.
Vernal, UT
Dr. Lisa Anderson
MD
Draper, UT
Dr. Patrick Angeles
MD
Taylorsville, UT
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kim Heaton, MD's specialty? ▼
Kim Heaton, MD specializes in Emergency Medicine Physician and practices in Taylorsville, Utah. Credentials: MD.
How much does Kim Heaton, MD prescribe under Medicare Part D? ▼
In 2024, Kim Heaton, MD wrote 254 Medicare Part D claims totaling $2K in drug costs for 207 beneficiaries.
Where is Kim Heaton, MD located? ▼
Kim Heaton, MD is located at 3845 W 4700 S, Taylorsville, UT, 84118. Phone: (801) 840-2020.
What is Kim Heaton, MD's NPI number? ▼
Kim Heaton, MD's National Provider Identifier (NPI) is 1225051089, issued on 07/25/2006.
Does Kim Heaton, MD prescribe more brand-name or generic drugs? ▼
Kim Heaton, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $138 in brand drug costs.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Kim Heaton, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Kim Heaton, MD's most frequently prescribed drugs include Doxycycline Monohydrate, Cephalexin, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kim Heaton, MD accept Medicare? ▼
Kim Heaton, MD appears in CMS Medicare data with 254 Part D claims and 207 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kim Heaton, MD's credentials? ▼
Kim Heaton, MD's NPI is 1225051089 with credentials MD. 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.
- 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
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.