2026 NPPES data Surgery Physician NPI 1871623645 MD
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BRIAN HESS, MD

Surgery Physician in LAFAYETTE, Colorado. 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
68
Medicare Part D claims · 48 beneficiaries · Surgery Physician avg: 169
MIPS score
96.6/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

BRIAN HESS, MD reported a CMS MIPS final score of 96.6/100 — above the 83.1 national average — and filed 68 Medicare Part D claims in 2023.

96.6/100
MIPS score · +14 vs avg
68
Part D claims, 2023
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 HESS, MD's MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 HESS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 HESS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/07/2007

NPI 1871623645

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

68 60% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

96.6/100 13.5% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Surgery Physician compares to other specialties among Colorado providers

Colorado providers

Surgery Physician share within Colorado

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Colorado

Medicare quality performance — MIPS

BRIAN HESS, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
96.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 96.6/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Surgery Physician) — 96.6/100 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 HESS, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 280 EXEMPLA CIR, LAFAYETTE, CO, 80026, with a listed phone of (303) 338-4545. NPI 1871623645 was issued on 03/07/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HESS 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 68 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $554 in drug spend, with an opioid prescribing rate of 52.9%. 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 96.6/100 for the 2023 performance year, compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

280 EXEMPLA CIR
LAFAYETTE, CO 80026

Provider Details

NPI 1871623645
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 03/07/2007

CMS Quality Score (MIPS)

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

96.6
Final Score
Avg: 83.1
96
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

68
Total Claims
$554
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
68
Total Day Supply
214
Generic Drug Cost
$538
Opioid Claims
36 (52.9% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.03
Gender Split
23% female / 77% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
20
Tramadol Hcl
15

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

Surgery Physician Overview

How BRIAN HESS, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

BRIAN HESS, MD's 68 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Colorado

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN HESS, MD's specialty?
BRIAN HESS, MD specializes in Surgery Physician and practices in LAFAYETTE, Colorado. Credentials: MD.
How much does BRIAN HESS, MD prescribe under Medicare Part D?
In 2023, BRIAN HESS, MD wrote 68 Medicare Part D claims totaling $554 in drug costs for 48 beneficiaries.
What is BRIAN HESS, MD's Medicare quality score?
BRIAN HESS, MD has a CMS MIPS Final Score of 96.6/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN HESS, MD located?
BRIAN HESS, MD is located at 280 EXEMPLA CIR, LAFAYETTE, CO, 80026. Phone: (303) 338-4545.
What is BRIAN HESS, MD's NPI number?
BRIAN HESS, MD's National Provider Identifier (NPI) is 1871623645, issued on 03/07/2007.
Does BRIAN HESS, MD prescribe opioids?
Yes, BRIAN HESS, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 52.9%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does BRIAN HESS, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN HESS, MD's most frequently prescribed drugs include Oxycodone Hcl, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN HESS, MD accept Medicare?
BRIAN HESS, MD appears in CMS Medicare data with 68 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN HESS, MD's credentials?
BRIAN HESS, MD's NPI is 1871623645 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