NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1265537831 MD
Verify on CMS → Charles Headrick, MD
Colon & Rectal Surgery Physician in Tarzana, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,608 in Colon & Rectal Surgery 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
286
Medicare Part D claims · 90 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
96.5/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$157.46
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Charles Headrick, MD reported a CMS MIPS final score of 96.5/100 - above the 83.1 national average - and filed 286 Medicare Part D claims in 2023.
- 96.5/100
- MIPS score · +13 vs avg
- 286
- 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.
Charles Headrick, 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
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 Charles Headrick, MD sits
This provider among colon & rectal surgery physician peers
Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Charles Headrick, MD writes more Part D claims than 77% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-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 colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Charles Headrick, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Charles Headrick, 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 Charles Headrick, MD?
High performer (top quartile)Primary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
286 46% vs specialty avg
MIPS final score
96.5/100 13.4 pts vs avg
Specialty distribution in California
How Colon & Rectal Surgery Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Charles Headrick, MD's 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 96.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Colon & Rectal Surgery Physician) - 96.5/100 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).
Charles Headrick, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 5525 ETIWANDA AVE, Tarzana, CA, 91356, with a listed phone of (818) 996-8505. NPI 1265537831 was issued on 09/14/2006.
Medicare Part D records for calendar year 2023 show 286 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $10K in drug spend, with an opioid prescribing rate of 24.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.5/100 for the 2023 performance year (Quality 91.5), compared with the national average of 83.1.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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 | 1265537831 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.482
Final Score
Avg: 83.1
91.5272
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Charles Headrick, 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.
Jeffrey P Lake MD Inc
Encino, CA
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 Charles Headrick, MD. Source: openpaymentsdata.cms.gov.
Total received
$157
Largest payer
Innovation Technologies 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.
License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Charles Headrick, MD. To verify Charles Headrick, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
286
Total Claims
$10K
Total Drug Cost
90
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 308
- Total Day Supply
- 7,049
- Generic Drug Cost
- $8K
- Opioid Claims
- 70 (24.5% rate)
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 11, 65-74: 32, 75-84: 36, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Charles Headrick, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amitriptyline Hcl
Amitriptyline Hcl
42 claims
- Hydrocortisone
Hydrocortisone
29 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
26 claims
- Oxycodone Hcl
Oxycodone Hcl
21 claims
- Clonazepam 13
Clonazepam
13 claims
- Diphenoxylate-Atro… 13
Diphenoxylate-Atropine
13 claims
- Dextroamphetamine-… 12
Dextroamphetamine-Amphetamine
12 claims
- Fluoxetine Hcl 12
Fluoxetine Hcl
12 claims
| Drug | Claims |
|---|---|
| Amitriptyline Hcl | 42 |
| Hydrocortisone | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 26 |
| Oxycodone Hcl | 21 |
| Clonazepam | 13 |
| Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine | 13 |
| Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine | 12 |
| Fluoxetine Hcl | 12 |
| Lorazepam | 12 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Charles Headrick, MD fits within the Colon & Rectal Surgery Physician landscape nationally.
1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Charles Headrick, MD's 286 claims are above the specialty average of 196.
Nearby Colon & Rectal Surgery Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Headrick.
Dr. Kenneth Aaron
M.D.
Newport Beach, CA
Dr. Michael Abel
M.D.
San Francisco, CA
Dr. Piyush Aggarwal
MD
Walnut Creek, CA
Dr. Allison Aka
MD
Loma Linda, CA
Dr. Ahmed Alkoraishi
MD
Hayward, CA
Compare Colon & Rectal Surgery 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery 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 Charles Headrick, MD's specialty? ▼
Charles Headrick, MD specializes in Colon & Rectal Surgery Physician and practices in Tarzana, California. Credentials: MD.
How much does Charles Headrick, MD prescribe under Medicare Part D? ▼
In 2023, Charles Headrick, MD wrote 286 Medicare Part D claims totaling $10K in drug costs for 90 beneficiaries.
What is Charles Headrick, MD's Medicare quality score? ▼
Charles Headrick, MD has a CMS MIPS Final Score of 96.5/100 (Quality: 91.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Charles Headrick, MD located? ▼
Charles Headrick, MD is located at 5525 ETIWANDA AVE, Tarzana, CA, 91356. Phone: (818) 996-8505.
What is Charles Headrick, MD's NPI number? ▼
Charles Headrick, MD's National Provider Identifier (NPI) is 1265537831, issued on 09/14/2006.
Does Charles Headrick, MD prescribe opioids? ▼
Yes, Charles Headrick, MD had 70 opioid claims in 2023 with an opioid prescribing rate of 24.5%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Charles Headrick, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Charles Headrick, MD's most frequently prescribed drugs include Amitriptyline Hcl, Hydrocortisone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Headrick, MD accept Medicare? ▼
Charles Headrick, MD appears in CMS Medicare data with 286 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Headrick, MD's credentials? ▼
Charles Headrick, MD's NPI is 1265537831 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
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.