DAVID HEALY, M.D.
Otolaryngology Physician in KALISPELL, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: DAVID HEALY, M.D. filed 531 Medicare Part D claims in 2023 across KALISPELL, Montana. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
DAVID HEALY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
DAVID HEALY, M.D. at a glance
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Montana
How Otolaryngology Physician compares to other specialties among Montana providers
Otolaryngology Physician share within Montana
Otolaryngology Physician is one of the more visible NUCC categories in Montana
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Otolaryngology Physician ABMS/AOA estimate
Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Otolaryngology Physician US NPIs
Specialty board-certified rate — Otolaryngology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
DAVID HEALY, M.D. is a Otolaryngology Physician provider practicing in KALISPELL, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043282700. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
DAVID HEALY, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 160 HERITAGE WAY, KALISPELL, MT, 59901, with a listed phone of (406) 752-8330. NPI 1043282700 was issued on 02/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEALY 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 531 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $17K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 7.3%. 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.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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 | 1043282700 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/06/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DAVID HEALY, M.D.'s current license status, disciplinary history, and board certifications with the Montana Board of Medical Examiners in Montana before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where DAVID HEALY, M.D. 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.
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 DAVID HEALY, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$53
Largest payer
Stryker 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 · Generic-heavy
5% brand-name claims vs 95% generic, on 531 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.
Prescribing Breakdown
- 30-Day Fills
- 619
- Total Day Supply
- 12,154
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $12K
- Opioid Claims
- 39 (7.3% rate)
- Antibiotic Claims
- 126
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 28, 65-74: 86, 75-84: 40, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 90 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 54 |
| Ipratropium Bromide | 44 |
| Methylprednisolone | 40 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 34 |
| Cephalexin | 26 |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | 26 |
| Doxycycline Hyclate | 23 |
| Omeprazole | 23 |
| Azelastine Hcl | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How DAVID HEALY, M.D. fits within the Otolaryngology Physician landscape nationally.
DAVID HEALY, M.D.'s 531 claims are above the specialty average of 509.
Nearby Otolaryngology Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as HEALY.
Compare Otolaryngology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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