NPPES file of Aug 9, 2026

Kristen C. Heinan, M.D.

Neurology with Special Qualifications in Child Neurology Physician · Roanoke, VA

Kristen C. Heinan, M.D. is a neurology with special qualifications in child neurology physician with a practice address in Roanoke, Virginia, and NPI 1700080108, issued on Jun 12, 2007. Check the license (Virginia 0101252091, as entered in NPPES) on the Virginia Department of Health Professions; 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
1700080108
Name
Kristen C. Heinan
Credential
M.D.
Primary taxonomy
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
License numbers
0101252091 VA
0116019527 VA
Self-reported in NPPES; status is on the state search
Practice location
4348 Electric RD, Roanoke, VA 24018
Phone
(540) 769-0976
Enumerated
Jun 12, 2007
Record last updated
Jan 28, 2026
Fax
(540) 857-5392
Medicare enrollment
Enrolled (PECOS I20120821000926); accepts Medicare assignment
Medical or professional school
Eastern Virginia Medical School, 2007
Telehealth
Offers telehealth (CMS)
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 4348 Electric RD

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

  1. Priya Acharya, DDSPeriodontics1649598756
  2. Omowunmi Adekoya, M.D.Student in an Organized Health Care Education/Training Program1124913629
  3. A Anderson, D.D.S.Pediatric Dentistry1306800503
  4. Lisa Apfel, M.D.Neurological Surgery Physician1659481984
  5. Olivia Asamoah, MDPediatrics Physician1447710405
  6. Erika Axeen, MDNeurology Physician1154610699

Verify Kristen C. Heinan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101252091
    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 Virginia 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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33% fewer Medicare Part D claims than the average neurology with special qualifications in child neurology physician in 2024

186 Medicare Part D claims for 20 beneficiaries, against an average of 278 among the 900 providers of this specialty who prescribed in Part D.

  1. Kristen Heinan186
  2. Specialty average278

Most prescribed

  1. Lacosamide25 claims
  2. Lamotrigine20 claims
  3. Topiramate19 claims
  4. Diazepam15 claims
  5. Amitriptyline Hcl12 claims
  6. Levetiracetam12 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): 79.4 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 score73.7
  2. Costout of 100 · 30%57.7
  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, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University OF Virginia Physicians GroupCharlottesville, VA

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

Kristen C. Heinan among 33 neurology with special qualifications in child neurology physician records in Virginia

Kristen C. Heinan, M.D. is one of 33 neurology with special qualifications in child neurology physician records with a practice address in Virginia. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 45% of them.

  • NPI issued2007 · 45% of these records are older, 39% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 48% of these records are
  • Graduated2007 · median 2004 among the 16 with a school on file
  • Record last updated2026 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084N0402X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neurology with Special Qualifications in Child Neurology Physician providers in Virginia

There are 33 neurology with special qualifications in child neurology physician records in Virginia.

The 8 neurology with special qualifications in child neurology physician records with the nearest ZIP codes

  1. James Brenton, M.D.Roanoke, VA 240181811156284
  2. Jessica Carpenter, MDRoanoke, VA 240181578695409
  3. Michael Sisk, M.D.Roanoke, VA 240181306898713
  4. Anthony StaplesRoanoke, VA 240181255727145
  5. James Wilson, M.D.Roanoke, VA 240131326090739
  6. David Jaffe, MDChesterfield, VA 238321962473033
  7. David Garner, DOPortsmouth, VA 237081497113195
  8. Georg Dahl, MDNorfolk, VA 235101699755066

Common questions

What is Kristen C. Heinan, M.D.'s NPI number?

Kristen C. Heinan, M.D.'s National Provider Identifier (NPI) is 1700080108, issued on Jun 12, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Kristen C. Heinan, M.D. located?

The NPPES record lists a practice address at 4348 Electric RD, Roanoke, VA, 24018. Phone: (540) 769-0976. Providers update this record themselves, so call before visiting.

How can I verify Kristen C. Heinan, M.D.'s license?

NPPES lists Virginia license number 0101252091, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kristen C. Heinan, M.D. prescribe under Medicare Part D?

In 2024, Kristen C. Heinan, M.D. had 186 Medicare Part D claims for 20 beneficiaries; the average among neurology with special qualifications in child neurology physician prescribers was 278. Part D covers Medicare prescriptions only.

What is Kristen C. Heinan, M.D.'s MIPS final score?

The 2023 MIPS final score is 79.4 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.