2026 NPPES data Dermatopathology (Pathology) Physician NPI 1144209701 M.D.
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EDWARD HEILMAN, M.D.

Dermatopathology (Pathology) Physician in BROOKLYN, New York. 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
33
Medicare Part D claims · 14 beneficiaries · Dermatopathology (Pathology) Physician avg: 369
MIPS score
93.49/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$894.38
29 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EDWARD HEILMAN, M.D. is a Dermatopathology (Pathology) Physician ([object Object]) practicing in BROOKLYN, New York with a Medicare Part D prescribing footprint of 33 claims across 14 beneficiaries . Their CMS MIPS Final Score of 93.49/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $894.38 across 29 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EDWARD HEILMAN, M.D. reported a CMS MIPS final score of 93.49 out of 100, above the 83.1 national average, and filed 33 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD HEILMAN, M.D. 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).

EDWARD HEILMAN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2006

NPI 1144209701

Primary specialty

Dermatopathology (Pathology) Physician

Niche

559 US NPIs in this specialty

Medicare Part D claims

33 91% vs specialty avg

2023 prescription claims

Specialty avg: 369

MIPS final score

93.49/100 10.39% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Dermatopathology (Pathology) Physician compares to other specialties among New York providers

New York providers

Dermatopathology (Pathology) Physician share within New York

1. Dermatopathology (Pathology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatopathology (Pathology) Physician share within New York

Medicare quality performance — MIPS

EDWARD HEILMAN, M.D.'s 2023 MIPS final score plotted against the Dermatopathology (Pathology) Physician national average

High performer (top quartile)
MIPS Final Score
93.49/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatopathology (Pathology) Physician) — 93.49/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Dermatopathology (Pathology) Physician) — 93.49/100 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).

EDWARD HEILMAN, M.D. is a Dermatopathology (Pathology) Physician provider practicing in BROOKLYN, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1144209701. 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.

EDWARD HEILMAN, M.D. appears in the CMS NPPES registry as a Dermatopathology (Pathology) Physician provider holding M.D. credentials at 760 BROADWAY, BROOKLYN, NY, 11206, with a listed phone of (718) 963-8000. NPI 1144209701 was issued on 01/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEILMAN 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 33 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $47K in drug spend. 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 93.49/100 for the 2023 performance year (Quality 72.6283), compared with the national average of 83.1.

Dermatopathology (Pathology) Physician is a narrow specialty nationwide, with 559 enrolled providers across 49 states and an average of 369 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

760 BROADWAY
BROOKLYN, NY 11206

Provider Details

NPI 1144209701
Specialty Dermatopathology (Pathology) Physician
Credentials M.D.
Gender Male
NPI Issued 01/12/2006

CMS Quality Score (MIPS)

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

93.49
Final Score
Avg: 83.1
72.6283
Quality
90.5862
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EDWARD HEILMAN, 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.

UNIVERSITY HOSPITAL OF BROOKLYN SUNY DOWNSTATE HEALTH SCIENCES UNIVERS
BROOKLYN, NY

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 EDWARD HEILMAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$894

Largest payer

Janssen Biotech, 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to EDWARD HEILMAN, M.D.. To verify EDWARD HEILMAN, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

33
Total Claims
$47K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
931
Generic Drug Cost
$488

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
1.46

Dermatopathology (Pathology) Physician Overview

How EDWARD HEILMAN, M.D. fits within the Dermatopathology (Pathology) Physician landscape nationally.

559
Dermatopathology (Pathology) Physician Providers in US
49
States with Dermatopathology (Pathology) Physician
369
Avg Claims per Provider

EDWARD HEILMAN, M.D.'s 33 claims are below the specialty average of 369.

Nearby Dermatopathology (Pathology) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as HEILMAN.

Compare Dermatopathology (Pathology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD HEILMAN, M.D.'s specialty?
EDWARD HEILMAN, M.D. specializes in Dermatopathology (Pathology) Physician and practices in BROOKLYN, New York. Credentials: M.D..
How much does EDWARD HEILMAN, M.D. prescribe under Medicare Part D?
In 2023, EDWARD HEILMAN, M.D. wrote 33 Medicare Part D claims totaling $47K in drug costs for 14 beneficiaries.
What is EDWARD HEILMAN, M.D.'s Medicare quality score?
EDWARD HEILMAN, M.D. has a CMS MIPS Final Score of 93.49/100 (Quality: 72.6283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD HEILMAN, M.D. located?
EDWARD HEILMAN, M.D. is located at 760 BROADWAY, BROOKLYN, NY, 11206. Phone: (718) 963-8000.
What is EDWARD HEILMAN, M.D.'s NPI number?
EDWARD HEILMAN, M.D.'s National Provider Identifier (NPI) is 1144209701, issued on 01/12/2006.
How many Dermatopathology (Pathology) Physician providers are there in the US?
There are 559 Dermatopathology (Pathology) Physician providers across 49 states in the US. The average Dermatopathology (Pathology) Physician provider writes 369 Medicare Part D claims per year.
Does EDWARD HEILMAN, M.D. accept Medicare?
EDWARD HEILMAN, M.D. appears in CMS Medicare data with 33 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD HEILMAN, M.D.'s credentials?
EDWARD HEILMAN, M.D.'s NPI is 1144209701 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.
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