BETHANY KATE HEATON (PA-C) – Medical Physician Assistant, NPI 1104228568

BETHANY KATE HEATON (PA-C) is a healthcare provider. based in Ellicott city, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C05554 (MD). The NPI Number for BETHANY KATE HEATON (PA-C) is 1104228568

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY KATE HEATON (PA-C)
NPI
1104228568
Phone
(443) 220-7546
Address
4380 DONCASTER DR
Enumeration Date
17 September 2014
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108767772
Graduation Year
2014 (12 years ago)
PAC ID
7113149683
Group Practice PAC ID
3678751468
Professional Enrollment ID
I20141118000751
Address ID
MD211576160WE410XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,366 PHYSICIAN ASSISTANT in MD

Provider Addresses for BETHANY KATE HEATON (PA-C)

  • 4380 DONCASTER DR

    ELLICOTT CITY, MD 210436782

    Phone: (443) 220-7546

    Type: Mailing

  • 5401 OLD COURT RD

    RANDALLSTOWN, MD 211335103

    Phone: (410) 521-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141118000751IPhysician AssistantMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15499$0
99292Critical care, each additional 30 minutes7637$0
99291Critical care, first 30-74 minutes6457$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th4718$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 21043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678751468View full group profile
NameSpecialtyState
-MD
-CA
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyOH
-MD
Diagnostic RadiologyMD
-MD
Nuclear Medicine, Diagnostic RadiologyOH
Internal MedicineVA
Nurse PractitionerMD

Reviews

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Frequently asked questions

What identifier follows BETHANY KATE HEATON (PA-C) across health systems?
The NPI 1104228568 uniquely identifies BETHANY KATE HEATON (PA-C) in U.S. healthcare data.
Quick check: is BETHANY KATE HEATON (PA-C) active?
Public NPPES data shows BETHANY KATE HEATON (PA-C) with an active NPI status right now.
What type of care does BETHANY KATE HEATON (PA-C) provide?
BETHANY KATE HEATON (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BETHANY KATE HEATON (PA-C)?
BETHANY KATE HEATON (PA-C) is associated with Ellicott City, Maryland in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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