NPI registry status
Active
2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1205195054 D.O.
Verify on CMS → Andrea Heller, D.O.
Hospice and Palliative Medicine (Family Medicine) Physician in Coudersport, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 785 in Hospice and Palliative Medicine (Family Medicine) 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
367
Medicare Part D claims · 67 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86/100
▲ 3 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
Andrea Heller, D.O. reported a CMS MIPS final score of 86/100 - above the 83.1 national average - and filed 367 Medicare Part D claims in 2023.
- 86/100
- MIPS score · +3 vs avg
- 367
- Part D claims, 2023
- 93%
- 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.
Andrea Heller, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
86 49th percentile higher than 49% 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 Andrea Heller, D.O. sits
This provider among hospice and palliative medicine (family medicine) physician peers
Across the 146 hospice and palliative medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrea Heller, D.O. writes more Part D claims than 46% of them and scores higher on MIPS quality than 47% - 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 hospice and palliative medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Andrea Heller, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrea Heller, D.O. 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 Andrea Heller, D.O.?
High performer (top quartile)Primary specialty
Hospice and Palliative Medicine (Family Medicine) Physician
Medicare Part D claims
367 82% vs specialty avg
MIPS final score
86/100 2.9 pts vs avg
Specialty distribution in Pennsylvania
How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Andrea Heller, D.O.'s 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 86/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) - 86/100 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).
Andrea Heller, D.O. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding D.O. credentials at 1001 E 2ND ST, Coudersport, PA, 16915, with a listed phone of (814) 274-5276. NPI 1205195054 was issued on 05/15/2012.
Medicare Part D records for calendar year 2023 show 367 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $20K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 16.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86/100 for the 2023 performance year (Quality 83.2, Cost 70.1), compared with the national average of 83.1.
Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 785 enrolled providers across 51 states and an average of 2,070 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 | 1205195054 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Family Medicine) Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 05/15/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.992
Final Score
Avg: 83.1
83.1837
Quality
70.123
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrea Heller, D.O. 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.
Charles Cole Memorial Hospital
Coudersport, PA
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Andrea Heller, D.O.. To verify Andrea Heller, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Andrea Heller, D.O. - brand share 7.0%
Hospice and Palliative Medicine (Family Medicine) Physician average
7% brand-name claims vs 93% generic, on 367 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.
367
Total Claims
$20K
Total Drug Cost
67
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 445
- Total Day Supply
- 11,518
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $13K
- Generic Drug Cost
- $7K
- Opioid Claims
- 59 (16.1% rate)
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 77.0 years
- Avg HCC Risk Score
- 2.46
- Gender Split
- 60% female / 40% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrea Heller, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pregabalin
Pregabalin
29 claims
- Duloxetine Hcl
Duloxetine Hcl
22 claims
- Prednisone
Prednisone
19 claims
- Mirtazapine
Mirtazapine
17 claims
- Potassium Chloride
Potassium Chloride
16 claims
- Quetiapine Fumarate
Quetiapine Fumarate
15 claims
- Methadone Hcl
Methadone Hcl
14 claims
- Morphine Sulfate
Morphine Sulfate
13 claims
| Drug | Claims |
|---|---|
| Pregabalin | 29 |
| Duloxetine Hcl | 22 |
| Prednisone | 19 |
| Mirtazapine | 17 |
| Potassium Chloride | 16 |
| Quetiapine Fumarate | 15 |
| Methadone Hcl | 14 |
| Morphine Sulfate | 13 |
| Oxycodone Hcl | 12 |
| Sertraline Hcl | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Hospice and Palliative Medicine (Family Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Hospice and Palliative Medicine (Family Medicine) Physician Overview
How Andrea Heller, D.O. fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.
785
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,070
Avg Claims per Provider
Andrea Heller, D.O.'s 367 claims are below the specialty average of 2,070.
Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Heller.
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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospice and Palliative Medicine (Family Medicine) 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 Andrea Heller, D.O.'s specialty? ▼
Andrea Heller, D.O. specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in Coudersport, Pennsylvania. Credentials: D.O..
How much does Andrea Heller, D.O. prescribe under Medicare Part D? ▼
In 2023, Andrea Heller, D.O. wrote 367 Medicare Part D claims totaling $20K in drug costs for 67 beneficiaries.
What is Andrea Heller, D.O.'s Medicare quality score? ▼
Andrea Heller, D.O. has a CMS MIPS Final Score of 86/100 (Quality: 83.2, Cost: 70.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Heller, D.O. located? ▼
Andrea Heller, D.O. is located at 1001 E 2ND ST, Coudersport, PA, 16915. Phone: (814) 274-5276.
What is Andrea Heller, D.O.'s NPI number? ▼
Andrea Heller, D.O.'s National Provider Identifier (NPI) is 1205195054, issued on 05/15/2012.
Does Andrea Heller, D.O. prescribe more brand-name or generic drugs? ▼
Andrea Heller, D.O.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $13K in brand drug costs.
Does Andrea Heller, D.O. prescribe opioids? ▼
Yes, Andrea Heller, D.O. had 59 opioid claims in 2023 with an opioid prescribing rate of 16.1%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 785 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,070 Medicare Part D claims per year.
What drugs does Andrea Heller, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrea Heller, D.O.'s most frequently prescribed drugs include Pregabalin, Duloxetine Hcl, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrea Heller, D.O. accept Medicare? ▼
Andrea Heller, D.O. appears in CMS Medicare data with 367 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Heller, D.O.'s credentials? ▼
Andrea Heller, D.O.'s NPI is 1205195054 with credentials D.O.. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.