NPPES file of Aug 9, 2026

Sean P. Heron, M.D.

Urology Physician · St Petersburg, FL

Sean P. Heron, M.D. is a urology physician with a practice address in St Petersburg, Florida, and NPI 1164486262, issued on Apr 14, 2006. Check the license (Florida ME68349, as entered in NPPES) on the Florida health license search; 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
1164486262
Name
Sean P. Heron
Credential
M.D.
Primary taxonomy
Urology Physician 208800000X
License number
ME68349 FL
Self-reported in NPPES; status is on the state search
Practice location
5747 38TH Ave N, St Petersburg, FL 33710
Phone
(727) 381-8667
Enumerated
Apr 14, 2006
Record last updated
Nov 29, 2023
Fax
(727) 345-1951
Medicaid ID
379031200 FL
Medicare enrollment
Enrolled (PECOS I20080529000621); accepts Medicare assignment
Medical or professional school
Ohio State University College Of Medicine, 1989
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 5747 38TH Ave N

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

  1. Damin Chen, PA-CPhysician Assistant1801647201
  2. Joseph Insoft, M.D.Urology Physician1235368077
  3. Ketan Kapadia, M.D.Urology Physician1043274152
  4. Rishi Modh, M.D.Urology Physician1033401997
  5. Lama Yacoub, APRNNurse Practitioner1194401141
  6. Shaw Zhou, M.D.Urology Physician1740244565

Verify Sean P. Heron in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME68349
    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 Florida license search

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2.2 times the Medicare Part D claims of the average urology physician in 2024

2,936 Medicare Part D claims for 650 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 44 claims were for opioids.

  1. Sean Heron2,936
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl944 claims
  2. Dutasteride359 claims
  3. Finasteride346 claims
  4. Alfuzosin Hcl Er102 claims
  5. Myrbetriq100 claims
  6. Amoxicillin-Clavulanate Potass70 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): 100 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. Qualitynot scored (reweighted)
  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, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,119.37

102 payments; by number, the most common kind was food and beverage; the largest payer was Teleflex LLC. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sean Heron$2,119.37
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Advanced Urology Institute LLCSt Petersburg, FL

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

Urology Physician providers in Florida

There are 1,020 urology physician records in Florida.

Other urology physician records in Florida

  1. Ahmad Abdel-AzizMiami, FL1710723424
  2. Mourad Abouelleil, M.D.West Palm Beach, FL1225357973
  3. Ran Abrahamy, MDTamarac, FL1851353940
  4. Mark Abramson, M.D.Jacksonville, FL1629030044
  5. Salim Afridi, MDPlant City, FL1417938275
  6. Ardalanejaz Ahmad, M.D.Gainesville, FL1649413873
  7. Bade Akintan, MDWinter Haven, FL1831202167
  8. Mark Alagna, MDHudson, FL1023065471
  9. Osama Alalao, MDStuart, FL1619464781
  10. Muhammad Alam, MDJacksonville, FL1184186009

Common questions

What is Sean P. Heron, M.D.'s NPI number?

Sean P. Heron, M.D.'s National Provider Identifier (NPI) is 1164486262, issued on Apr 14, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sean P. Heron, M.D. located?

The NPPES record lists a practice address at 5747 38TH Ave N, St Petersburg, FL, 33710. Phone: (727) 381-8667. Providers update this record themselves, so call before visiting.

How can I verify Sean P. Heron, M.D.'s license?

NPPES lists Florida license number ME68349, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sean P. Heron, M.D. prescribe under Medicare Part D?

In 2024, Sean P. Heron, M.D. had 2,936 Medicare Part D claims for 650 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Sean P. Heron, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 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.