2026 NPPES data Family Medicine Physician NPI 1336442037 M.D.
Verify on CMS →

DEREK HELDZINGER, M.D.

Family Medicine Physician in DALTON, Georgia. 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
608
Medicare Part D claims · 314 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

DEREK HELDZINGER, M.D. filed 608 Medicare Part D claims in 2023 as a Family Medicine Physician in DALTON, Georgia, prescribing 91% generic.

608
Part D claims, 2023
91%
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.

DEREK HELDZINGER, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

608 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

DEREK HELDZINGER, 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).

What does the federal data show about DEREK HELDZINGER, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/18/2010

NPI 1336442037

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

608 82% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Family Medicine Physician share within Georgia

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

DEREK HELDZINGER, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1107 MEMORIAL DR STE 201, DALTON, GA, 30720, with a listed phone of (706) 277-7311. NPI 1336442037 was issued on 12/18/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELDZINGER 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 608 prescription claims written by this provider, covering 314 Medicare beneficiaries and totaling roughly $21K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.6%. 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.

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

1107 MEMORIAL DR STE 201
DALTON, GA 30720

Provider Details

NPI 1336442037
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 12/18/2010

Hospital and facility affiliations

Facilities where DEREK HELDZINGER, 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.

UTM OF GEORGIA PHYSICIANS LLC
DALTON, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

DEREK HELDZINGER, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 608 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.

608
Total Claims
$21K
Total Drug Cost
314
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
807
Total Day Supply
16,109
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$10K
Generic Drug Cost
$10K
Opioid Claims
22 (3.6% rate)
Antibiotic Claims
236

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.17
Gender Split
68% female / 32% male
Age Distribution
<65: 62, 65-74: 139, 75-84: 101, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What DEREK HELDZINGER, M.D. 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
Doxycycline Hyclate
103
Cephalexin
24
Methylprednisolone
24
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
24
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
23
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
21
Lisinopril
20
Fluconazole
18
Azithromycin
17
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
16

* 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 DEREK HELDZINGER, M.D. 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

DEREK HELDZINGER, M.D.'s 608 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Georgia

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEREK HELDZINGER, M.D.'s specialty?
DEREK HELDZINGER, M.D. specializes in Family Medicine Physician and practices in DALTON, Georgia. Credentials: M.D..
How much does DEREK HELDZINGER, M.D. prescribe under Medicare Part D?
In 2023, DEREK HELDZINGER, M.D. wrote 608 Medicare Part D claims totaling $21K in drug costs for 314 beneficiaries.
Where is DEREK HELDZINGER, M.D. located?
DEREK HELDZINGER, M.D. is located at 1107 MEMORIAL DR STE 201, DALTON, GA, 30720. Phone: (706) 277-7311.
What is DEREK HELDZINGER, M.D.'s NPI number?
DEREK HELDZINGER, M.D.'s National Provider Identifier (NPI) is 1336442037, issued on 12/18/2010.
Does DEREK HELDZINGER, M.D. prescribe more brand-name or generic drugs?
DEREK HELDZINGER, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $10K in brand drug costs.
Does DEREK HELDZINGER, M.D. prescribe opioids?
Yes, DEREK HELDZINGER, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
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 DEREK HELDZINGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DEREK HELDZINGER, M.D.'s most frequently prescribed drugs include Doxycycline Hyclate, Cephalexin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DEREK HELDZINGER, M.D. accept Medicare?
DEREK HELDZINGER, M.D. appears in CMS Medicare data with 608 Part D claims and 314 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEREK HELDZINGER, M.D.'s credentials?
DEREK HELDZINGER, M.D.'s NPI is 1336442037 with credentials M.D.. 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.
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