NPIMap

Individual provider Active NPI

Kevin T Heaton, DO

  • Orthopaedic Surgery Physician
  • Klamath Falls, OR
National Provider Identifier
1467474569
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO22887 Issued in OR
Practice address
2200 Bryant Williams Drive
Suite 1
Klamath Falls, OR 97601-1120
Phone
(541) 884-7746
Fax
(541) 884-0848
NPI assigned
Jul 25, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO22887 OR Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X DO22887 OR

Addresses

Primary practice location

2200 Bryant Williams Drive
Suite 1
Klamath Falls, OR 97601-1120

Mailing address

2200 Bryant Williams Drive
Suite 1
Klamath Falls, OR 97601-1120
Phone (541) 884-7746

Other identifiers 5

IdentifierTypeStateIssuer
200046213OtherORRAILROAD MEDICARE
287483MedicaidOR
4604977397601OtherORTRICARE
831170000OtherORBLUE CROSS
XPY195175OtherCAMEDI-CAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 000840@LAKE.CERNERDIRECT.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000102 OR Practitioner - Orthopedic Surgery 2668466418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Health DistrictGroup PAC ID 4284629221, 56 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

1250 S 9TH St
Lakeview, OR 97630-1913
Phone 5419472114404

2200 Bryant Williams Dr
Suite 1
Klamath Falls, OR 97601-1121
Phone (541) 884-7746

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as individual
Quality
61.93
Improvement activities
40
Cost
76.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement40
Knee replacement52
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Lake Health District CurrentSince Apr 15, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Jason M Conaughty MD PC PastSince Nov 14, 2011 Accepting new patients

Locations

2200 Bryant Williams Dr
Ste 1
Klamath Falls, OR 97601
Phone (541) 884-3677

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

700 S J St
Lakeview, OR 97630
Phone (541) 947-2114

Interoperability endpoints

  • Direct secure messaging: 000840@lake.cernerdirect.com
  • Direct secure messaging: kevin.heaton@klamathortho.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1467474569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BRYANT WILLIAMS DRIVE",
            "address_2": "SUITE 1",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011120",
            "telephone_number": "541-884-7746",
            "fax_number": "541-884-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRYANT WILLIAMS DRIVE",
            "address_2": "SUITE 1",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011120",
            "telephone_number": "541-884-7746",
            "fax_number": "541-884-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "DO22887",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OR",
            "license": "DO22887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200046213",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287483",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "4604977397601",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "831170000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XPY195175",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "000840@LAKE.CERNERDIRECT.COM",
            "affiliation": "N",
            "endpointDescription": "LAKE DISTRICT HOSPITAL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2200 Bryant Williams Dr Ste 1",
            "city": "Klamath Falls",
            "state": "OR",
            "country_code": "US",
            "postal_code": "976011121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.