Addison Himmelberger, MD
Urology Physician in Hopkinsville, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 13,350 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.
What the federal data shows
Addison Himmelberger, MD filed 156 Medicare Part D claims in 2023 as a Urology Physician in Hopkinsville, Kentucky.
- 156
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.
Addison Himmelberger, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
156 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
Addison Himmelberger, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Addison Himmelberger, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Kentucky
How Urology Physician compares to other specialties among Kentucky providers
Largest specialties in Kentucky (% of in-state providers)
Urology Physician ranks #63 among Kentucky's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the Kentucky provider total, by primary NUCC taxonomy. The highlighted bar is Urology Physician; the long tail of smaller specialties is omitted for legibility.
Specialty board-certification context
Estimated specialty board-certified rate — Urology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Urology Physician ABMS/AOA estimate
Est. board-certified rate (Urology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Urology Physician US NPIs
Specialty board-certified rate — Urology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Addison Himmelberger, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 1717 HIGH ST STE 3, Hopkinsville, KY, 42240, with a listed phone of (270) 886-5141. NPI 1679137905 was issued on 04/23/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Himmelberger most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 156 prescription claims written by this provider, covering 54 Medicare beneficiaries and totaling roughly $27K in drug spend, with an opioid prescribing rate of 9.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1679137905 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/23/2019 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Addison Himmelberger, MD's current license status, disciplinary history, and board certifications with the Kentucky Board of Medical Licensure in Kentucky before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Addison Himmelberger, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 209
- Total Day Supply
- 5,214
- Generic Drug Cost
- $2K
- Opioid Claims
- 15 (9.6% rate)
- Antibiotic Claims
- 21
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 1.92
- Gender Split
- 28% female / 72% male
- Age Distribution
- <65: 13, 65-74: 29, 75-84: 12, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Addison Himmelberger, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
49 claims
- Myrbetriq
Myrbetriq
31 claims
- Oxybutynin Chlorid…
Oxybutynin Chloride Er
22 claims
- Oxycodone Hcl 15
Oxycodone Hcl
15 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 49 |
| Myrbetriq Mirabegron | 31 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 22 |
| Oxycodone Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Addison Himmelberger, MD fits within the Urology Physician landscape nationally.
Addison Himmelberger, MD's 156 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Himmelberger.
Compare Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Kentucky medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology