NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1093196636 M.D.
Verify on CMS → Amy Heibel, M.D.
Pulmonary Disease Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
29
Medicare Part D claims · Pulmonary Disease Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.1/100
▲ 1 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Amy Heibel, M.D. reported a CMS MIPS final score of 84.1/100 - above the 83.1 national average - and filed 29 Medicare Part D claims in 2023.
- 84.1/100
- MIPS score · +1 vs avg
- 29
- Part D claims, 2023
- 45%
- generic prescribing
- 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.
Amy Heibel, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 45th percentile higher than 45% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Amy Heibel, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Amy Heibel, M.D. writes more Part D claims than 4% of them and scores higher on MIPS quality than 49% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Amy Heibel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Amy Heibel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Amy Heibel, M.D.?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
29 98% vs specialty avg
MIPS final score
84.1/100 1 pts vs avg
Specialty distribution in Texas
How Pulmonary Disease Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Amy Heibel, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 84.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 84.1/100 vs national avg 83.1
How MIPS and board certification work
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).
Amy Heibel, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1504 BEN TAUB LOOP, Houston, TX, 77030, with a listed phone of (281) 952-0384. NPI 1093196636 was issued on 06/09/2015.
Medicare Part D records for calendar year 2023 show 29 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $16K in drug spend, split 55% brand-name and 45% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.1/100 for the 2023 performance year (Quality 84.5, Cost 54.4), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1093196636 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/09/2015 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.059
Final Score
Avg: 83.1
84.4904
Quality
54.3968
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Amy Heibel, 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.
Baylor College OF Medicine
Houston, TX
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Amy Heibel, M.D.. To verify Amy Heibel, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Amy Heibel, M.D. - brand share 55.0%
Pulmonary Disease Physician average
55% brand-name claims vs 45% generic, on 29 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.
29
Total Claims
$16K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 30
- Total Day Supply
- 847
- Brand vs Generic
- 55% brand / 45% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $248
Patient Demographics
- Average Patient Age
- 63.6 years
- Avg HCC Risk Score
- 1.68
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Amy Heibel, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Amy Heibel, M.D.'s 29 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Heibel.
Dr. Qammar Abbas
M.D.
Wylie, TX
Dr. Mohamed Abdalla
MD
San Antonio, TX
Dr. Emran Abu Atherah
M.D
Webster, TX
Dr. Bruce Ackerman
D.O.
Garland, TX
Dr. Mari Adachi
MD
Plano, TX
Compare Pulmonary Disease 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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
What is Amy Heibel, M.D.'s specialty? ▼
Amy Heibel, M.D. specializes in Pulmonary Disease Physician and practices in Houston, Texas. Credentials: M.D..
How much does Amy Heibel, M.D. prescribe under Medicare Part D? ▼
In 2023, Amy Heibel, M.D. wrote 29 Medicare Part D claims totaling $16K in drug costs for N/A beneficiaries.
What is Amy Heibel, M.D.'s Medicare quality score? ▼
Amy Heibel, M.D. has a CMS MIPS Final Score of 84.1/100 (Quality: 84.5, Cost: 54.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Amy Heibel, M.D. located? ▼
Amy Heibel, M.D. is located at 1504 BEN TAUB LOOP, Houston, TX, 77030. Phone: (281) 952-0384.
What is Amy Heibel, M.D.'s NPI number? ▼
Amy Heibel, M.D.'s National Provider Identifier (NPI) is 1093196636, issued on 06/09/2015.
Does Amy Heibel, M.D. prescribe more brand-name or generic drugs? ▼
Amy Heibel, M.D.'s prescribing is 55% brand-name and 45% generic drugs by claim count, with $15K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Amy Heibel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Amy Heibel, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Amy Heibel, M.D. accept Medicare? ▼
Amy Heibel, M.D. appears in CMS Medicare data with 29 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Amy Heibel, M.D.'s credentials? ▼
Amy Heibel, M.D.'s NPI is 1093196636 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
View source datasets and methodology notes
- 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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
Compiled from official public sources by the PlainDoctor editorial team.