Doctor profile · Federal record

Dr. Keith Heaton, M.D.

Surgery Physician · St Louis Park, MN

  • NPI 1962485508
  • 21 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3850 Park Nicollet Blvd
St Louis Park, MN 554162527
(952) 993-3700
fax (952) 993-1750
Mailing address
8170 33Rd Ave S # MS 21110Q
Bloomington, MN 554254516

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
March 9, 2021
Specialty taxonomy
208600000X — NUCC code
State license (1)
Minnesota #43664

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1962485508. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
103
Distinct HCPCS
6
Medicare allowed
$16,253
HCPCS Description Services Patients Avg allowed
99203 New patient office or other outpatient visit, 30-44 minutes 36 36 $105
99204 New patient office or other outpatient visit, 45-59 minutes 16 16 $141
99202 New patient office or other outpatient visit, 15-29 minutes 15 15 $71
19301 Partial removal of breast 13 13 $585
38792 Injection of radioactive material for x-ray identification of lymph node 12 12 $15
38900 Imaging of lymph nodes during surgery 11 11 $123

In context: peer comparison

Among 5 peers in St Louis Park Surgery Physician, average services per provider: 21. This provider delivers 4.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
98
Patients
76
Total drug cost
$642
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 76 76 $178
Cephalexin Generic 11 0 $103
Famotidine Generic 11 0 $361

Frequently asked questions

Auto-generated from federal data
What is Dr. Keith Heaton's medical specialty?
Dr. Keith Heaton practices Surgery Physician in St Louis Park, MN.
Where does Dr. Keith Heaton practice?
Dr. Keith Heaton practices at 3850 Park Nicollet Blvd, St Louis Park, MN 554162527. Office phone: 9529933700.
What is Dr. Keith Heaton's NPI?
Dr. Keith Heaton's National Provider Identifier (NPI) is 1962485508, issued by NPPES.
What procedures does Dr. Keith Heaton commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); New patient office or other outpatient visit (HCPCS 99204); New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.