2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1316174931 M.D.
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ALETHEA HEIN, M.D.

Ophthalmic Plastic and Reconstructive Surgery Physician in DUBUQUE, Iowa. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 429 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$18.99
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ALETHEA HEIN, M.D. is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in DUBUQUE, Iowa with a Medicare Part D prescribing footprint of 2K claims across 429 beneficiaries — 30% brand-name prescribing . Industry payments of $18.99 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ALETHEA HEIN, M.D. filed 1,529 Medicare Part D claims in 2023 across DUBUQUE, Iowa. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALETHEA HEIN, M.D. 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).

ALETHEA HEIN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/22/2009

NPI 1316174931

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

1,529 145% vs specialty avg

2023 prescription claims

Specialty avg: 624

Specialty distribution in Iowa

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Iowa providers

Iowa providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Iowa

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Iowa

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmic Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmic Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmic Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmic Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

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).

ALETHEA HEIN, M.D. is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in DUBUQUE, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1316174931. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALETHEA HEIN, M.D. appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 1500 ASSOCIATES DR, DUBUQUE, IA, 52002, with a listed phone of (563) 584-4415. NPI 1316174931 was issued on 06/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEIN 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 1,529 prescription claims written by this provider, covering 429 Medicare beneficiaries and totaling roughly $103K in drug spend, split 30% brand-name and 70% generic by claim count. 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.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

1500 ASSOCIATES DR
DUBUQUE, IA 52002

Provider Details

NPI 1316174931
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 06/22/2009

Hospital and facility affiliations

Facilities where ALETHEA HEIN, M.D. 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.

RIVERSIDE EYE CENTER, PA
LEWISTON, ME

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ALETHEA HEIN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

Optos, Inc.

Most common payment type

Entertainment

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

ALETHEA HEIN, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 1,529 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,529
Total Claims
$103K
Total Drug Cost
429
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,970
Total Day Supply
48,954
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$83K
Generic Drug Cost
$20K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
0.92
Gender Split
65% female / 35% male
Age Distribution
<65: 16, 65-74: 196, 75-84: 168, 85+: 49

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
254
Prednisolone Acetate
251
Ketorolac Tromethamine
192
Moxifloxacin
Moxifloxacin Hcl
166
Timolol Maleate
110
Brimonidine Tartrate
95
Erythromycin
Erythromycin Base
95
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
79
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
74
Restasis
Cyclosporine
69

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How ALETHEA HEIN, M.D. fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

ALETHEA HEIN, M.D.'s 1,529 claims are above the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as HEIN.

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALETHEA HEIN, M.D.'s specialty?
ALETHEA HEIN, M.D. specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in DUBUQUE, Iowa. Credentials: M.D..
How much does ALETHEA HEIN, M.D. prescribe under Medicare Part D?
In 2023, ALETHEA HEIN, M.D. wrote 1,529 Medicare Part D claims totaling $103K in drug costs for 429 beneficiaries.
Where is ALETHEA HEIN, M.D. located?
ALETHEA HEIN, M.D. is located at 1500 ASSOCIATES DR, DUBUQUE, IA, 52002. Phone: (563) 584-4415.
What is ALETHEA HEIN, M.D.'s NPI number?
ALETHEA HEIN, M.D.'s National Provider Identifier (NPI) is 1316174931, issued on 06/22/2009.
Does ALETHEA HEIN, M.D. prescribe more brand-name or generic drugs?
ALETHEA HEIN, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $83K in brand drug costs.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does ALETHEA HEIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALETHEA HEIN, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALETHEA HEIN, M.D. accept Medicare?
ALETHEA HEIN, M.D. appears in CMS Medicare data with 1,529 Part D claims and 429 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALETHEA HEIN, M.D.'s credentials?
ALETHEA HEIN, M.D.'s NPI is 1316174931 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

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