NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1346655099
Verify on CMS → Benjamin Heller
Family Medicine Physician in Phoenix, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in 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
883
Medicare Part D claims · 291 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
40.7/100
▼ 42 pts below national avg 83.1 · Below average
Industry payments
$3.5K
32 payments · CMS Open Payments (Sunshine Act)
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
Benjamin Heller reported a CMS MIPS final score of 40.7/100 - below the 83.1 national average - and filed 883 Medicare Part D claims in 2023.
- 40.7/100
- MIPS score · -42 vs avg
- 883
- Part D claims, 2023
- 58%
- 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.
Benjamin Heller's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
41 4th percentile higher than 4% 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 Benjamin Heller sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Benjamin Heller writes more Part D claims than 32% of them and scores higher on MIPS quality than 5% - 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 family medicine physician peer from a representative sample of 60; the gold marker is Benjamin Heller. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Benjamin Heller 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 Benjamin Heller?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
883 74% vs specialty avg
MIPS final score
40.7/100 42.4 pts vs avg
Specialty distribution in Arizona
How Family Medicine Physician compares to other specialties among Arizona providers
Medicare quality performance, MIPS
Benjamin Heller's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 40.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 40.7/100 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).
Benjamin Heller appears in the CMS NPPES registry as a Family Medicine Physician provider at 515 W BUCKEYE RD STE 104, Phoenix, AZ, 85003, with a listed phone of (602) 257-8280. NPI 1346655099 was issued on 06/20/2014.
Medicare Part D records for calendar year 2023 show 883 prescription claims written by this provider, covering 291 Medicare beneficiaries and totaling roughly $55K in drug spend, split 42% brand-name and 58% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 40.7/100 for the 2023 performance year (Quality 59.1, Cost 26.5), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1346655099 |
|---|---|
| Specialty | Family Medicine Physician |
| Gender | Male |
| NPI Issued | 06/20/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
40.6794
Final Score
Avg: 83.1
59.0722
Quality
26.526
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Benjamin Heller 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.
Eye Doctors OF Arizona PLLC
Phoenix, AZ
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 Benjamin Heller. Source: openpaymentsdata.cms.gov.
Total received
$3.5K
Largest payer
Glaukos Corporation
Most common payment type
Food and Beverage
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
Benjamin Heller - brand share 42.0%
Family Medicine Physician average
42% brand-name claims vs 58% generic, on 883 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.
883
Total Claims
$55K
Total Drug Cost
291
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,321
- Total Day Supply
- 36,451
- Brand vs Generic
- 42% brand / 58% generic
- Brand Drug Cost
- $45K
- Generic Drug Cost
- $10K
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 28, 65-74: 147, 75-84: 87, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Benjamin Heller prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
246 claims
- Prednisolone Acetate
Prednisolone Acetate
153 claims
- Ofloxacin
Ofloxacin
124 claims
- Timolol Maleate 79
Timolol Maleate
79 claims
- Brimonidine Tartrate 59
Brimonidine Tartrate
59 claims
- Neomycin-Polymyxin… 43
Neomycin-Polymyxin-Dexameth
43 claims
- Lumigan 37
Lumigan
37 claims
- Dorzolamide Hcl 35
Dorzolamide Hcl
35 claims
| Drug | Claims |
|---|---|
| Latanoprost | 246 |
| Prednisolone Acetate | 153 |
| Ofloxacin | 124 |
| Timolol Maleate | 79 |
| Brimonidine Tartrate | 59 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 43 |
| Lumigan Bimatoprost | 37 |
| Dorzolamide Hcl | 35 |
| Alphagan P Brimonidine Tartrate | 14 |
| Combigan Brimonidine Tartrate/Timolol | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Benjamin Heller fits within the Family Medicine Physician landscape nationally.
147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Benjamin Heller's 883 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Heller.
Dr. Muhammad Aamer
M.D.
Yuma, AZ
Dr. Ndidi Abara
M.D.
Yuma, AZ
Dr. Steven Abdelmalak
MD
Scottsdale, AZ
Dr. Lindsey Abeyta
FNP
Tucson, AZ
Dr. Modupeola Abiodun
M.D.
Chandler, AZ
Compare Family Medicine 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 Arizona medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Explore Arizona
Frequently Asked Questions
What is Benjamin Heller's specialty? ▼
Benjamin Heller specializes in Family Medicine Physician and practices in Phoenix, Arizona.
How much does Benjamin Heller prescribe under Medicare Part D? ▼
In 2023, Benjamin Heller wrote 883 Medicare Part D claims totaling $55K in drug costs for 291 beneficiaries.
What is Benjamin Heller's Medicare quality score? ▼
Benjamin Heller has a CMS MIPS Final Score of 40.7/100 (Quality: 59.1, Cost: 26.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Benjamin Heller located? ▼
Benjamin Heller is located at 515 W BUCKEYE RD STE 104, Phoenix, AZ, 85003. Phone: (602) 257-8280.
What is Benjamin Heller's NPI number? ▼
Benjamin Heller's National Provider Identifier (NPI) is 1346655099, issued on 06/20/2014.
Does Benjamin Heller prescribe more brand-name or generic drugs? ▼
Benjamin Heller's prescribing is 42% brand-name and 58% generic drugs by claim count, with $45K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Benjamin Heller prescribe most often? ▼
Based on 2023 Medicare Part D data, Benjamin Heller's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Benjamin Heller accept Medicare? ▼
Benjamin Heller appears in CMS Medicare data with 883 Part D claims and 291 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Benjamin Heller's credentials? ▼
Benjamin Heller's NPI is 1346655099. 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.