2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1992730493 MD
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BRIAN HEABERLIN, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in WEST COLUMBIA, South Carolina. 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
1K
Medicare Part D claims · 442 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.0384/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$91.1
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRIAN HEABERLIN, MD reported a CMS MIPS final score of 83.0384/100 — below the 83.1 national average — and filed 1,249 Medicare Part D claims in 2023.

83.0384/100
MIPS score · 0 vs avg
1K
Part D claims, 2023
94%
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.

BRIAN HEABERLIN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

BRIAN HEABERLIN, MD 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 BRIAN HEABERLIN, MD?

Near national average

NPI registry status

Active

Issued 07/12/2006

NPI 1992730493

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

1,249 230% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

83.0384/100 0.061599999999998545% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Carolina

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among South Carolina providers

South Carolina providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within South Carolina

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within South Carolina

Medicare quality performance — MIPS

BRIAN HEABERLIN, MD's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Near national average
MIPS Final Score
83.0384/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 83.0384/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 83.0384/100 vs national avg 83.1

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).

BRIAN HEABERLIN, MD appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding MD credentials at 146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC, 29169, with a listed phone of (803) 936-7530. NPI 1992730493 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEABERLIN 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 1,249 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $45K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 2.5%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.0384/100 for the 2023 performance year (Quality 80.4541, Cost 72.1739), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169

Provider Details

NPI 1992730493
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 07/12/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.0384
Final Score
Avg: 83.1
80.4541
Quality
72.1739
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN HEABERLIN, 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.

LEXINGTON HEALTH INC
WEST COLUMBIA, SC

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 BRIAN HEABERLIN, MD. Source: openpaymentsdata.cms.gov.

Total received

$91

Largest payer

AERIN MEDICAL INC.

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 · Generic-heavy

BRIAN HEABERLIN, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,249 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.

1,249
Total Claims
$45K
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,154
Total Day Supply
56,484
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$7K
Generic Drug Cost
$38K
Opioid Claims
31 (2.5% rate)
Antibiotic Claims
90

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.09
Gender Split
65% female / 35% male
Age Distribution
<65: 55, 65-74: 205, 75-84: 150, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What BRIAN HEABERLIN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Fluticasone Propionate
222
Ipratropium Bromide
214
Montelukast Sodium
83
Azelastine Hcl
70
Omeprazole
60
Nortriptyline Hcl
59
Betamethasone Valerate
54
Famotidine
47
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
35
Levothyroxine Sodium
34

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How BRIAN HEABERLIN, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

BRIAN HEABERLIN, MD's 1,249 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as HEABERLIN.

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN HEABERLIN, MD's specialty?
BRIAN HEABERLIN, MD specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in WEST COLUMBIA, South Carolina. Credentials: MD.
How much does BRIAN HEABERLIN, MD prescribe under Medicare Part D?
In 2023, BRIAN HEABERLIN, MD wrote 1,249 Medicare Part D claims totaling $45K in drug costs for 442 beneficiaries.
What is BRIAN HEABERLIN, MD's Medicare quality score?
BRIAN HEABERLIN, MD has a CMS MIPS Final Score of 83.0384/100 (Quality: 80.4541, Cost: 72.1739). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN HEABERLIN, MD located?
BRIAN HEABERLIN, MD is located at 146 E HOSPITAL DR STE 200, WEST COLUMBIA, SC, 29169. Phone: (803) 936-7530.
What is BRIAN HEABERLIN, MD's NPI number?
BRIAN HEABERLIN, MD's National Provider Identifier (NPI) is 1992730493, issued on 07/12/2006.
Does BRIAN HEABERLIN, MD prescribe more brand-name or generic drugs?
BRIAN HEABERLIN, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $7K in brand drug costs.
Does BRIAN HEABERLIN, MD prescribe opioids?
Yes, BRIAN HEABERLIN, MD had 31 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does BRIAN HEABERLIN, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN HEABERLIN, MD's most frequently prescribed drugs include Fluticasone Propionate, Ipratropium Bromide, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN HEABERLIN, MD accept Medicare?
BRIAN HEABERLIN, MD appears in CMS Medicare data with 1,249 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN HEABERLIN, MD's credentials?
BRIAN HEABERLIN, MD's NPI is 1992730493 with credentials MD. 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.
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