Active NPI 1962485508 Individual Practitioner Male Practitioner

Dr. Keith M Heaton , MD

Surgery • St Louis Park, MN

Professional Overview & Biography Verified Profile Summary

Dr. Keith Heaton, MD is a registered healthcare professional specializing in Surgery in St Louis Park, MN. Practice services are available at 3850 PARK NICOLLET BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, injection of radioactive material for x-ray identification of lymph node, lymph node imaging during surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3850 Park Nicollet Blvd

St Louis Park, MN 554162527

Telephone 9529933700

Fax 9529931750

Associated Practice Facility / Clinic

🏢 Park Nicollet Health Care Products Facility NPI 1033178983

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Louis Park, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.1 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

15 Specialists

Practicing in St Louis Park, MN (770 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$420.00	$105.00
38792 Injection of radioactive material for x-ray identification of lymph node	19	19	$166.89	$15.44
38900 Lymph node imaging during surgery	18	18	$707.78	$127.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$622.00	$160.56
19301 Partial removal of breast	14	13	$3105.00	$596.11
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$2372.57	$230.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$386.00	$105.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$575.00	$140.78
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$251.00	$70.62
19301 Partial removal of breast	13	13	$2892.00	$585.30
38792 Injection of radioactive material for x-ray identification of lymph node	12	12	$142.00	$15.18
38900 Lymph node imaging during surgery	11	11	$598.00	$122.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$359.00	$109.58
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	29	$73.00	$23.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$536.00	$163.94
19301 Partial removal of breast	14	14	$2871.43	$624.41
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1813.48	$257.22
38900 Lymph node imaging during surgery	12	12	$557.00	$127.09
38792 Injection of radioactive material for x-ray identification of lymph node	12	12	$133.00	$15.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	35	$73.00	$21.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$342.00	$111.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$523.00	$158.13
38900 Lymph node imaging during surgery	15	15	$568.00	$123.88
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$242.00	$72.44
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$1791.00	$263.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$230.00	$73.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	26	$68.00	$23.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$326.00	$106.74
38900 Lymph node imaging during surgery	13	13	$524.00	$131.27
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1656.00	$243.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$216.00	$75.02
38900 Lymph node imaging during surgery	22	22	$519.59	$131.78
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$1653.68	$256.93
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$210.00	$70.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$474.00	$160.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$311.00	$101.15
38792 Injection of radioactive material for x-ray identification of lymph node	15	15	$151.47	$16.71
19301 Partial removal of breast	15	14	$2492.80	$637.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$310.00	$106.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$207.00	$73.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$109.00	$38.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$300.00	$105.23
38900 Lymph node imaging during surgery	11	11	$569.64	$140.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$197.00	$71.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	14	$104.00	$37.96

Medical Specialties & State Licenses

CMS Verified: 2021-03-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 43664

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Kathryn Houselog , ANP

Nurse Practitioner - Adult Health

NPI 1053577080

Adult Nurse Practitioner

Dr. Elizabeth Lindgren , MD

Radiology - Diagnostic Radiology

NPI 1053603381

Doctor of Medicine (M.D.)

Dr. Jeremy Hollerman , MD

Radiology - Diagnostic Radiology

NPI 1336122811

Doctor of Medicine (M.D.)

Anne Rodekuhr , NP

Nurse Practitioner - Family

NPI 1447749775

Nurse Practitioner

Ryan Brady

Radiology - Diagnostic Radiology

NPI 1639303704

Dr. Andrew Misselt , MD

Radiology - Diagnostic Radiology

NPI 1770500555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 09, 2021

Registered at 3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 554162527 (Tel: 9529933700)

📍

Updated Business Mailing Address March 09, 2021

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

✅

NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2012

Registered at 3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN 554162503 (Tel: 9529933180)

📍

Updated Business Mailing Address March 01, 2012

Registered at 3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 554162527

👤

Provider Name / Credentials Updated March 01, 2012

Recorded as KEITH HEATON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Surgery (License #43664 in MN)

🟢

Initial NPI Registration & Enumeration November 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962485508

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2005

Last Update: March 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.