2026 NPPES data Otolaryngic Allergy Physician NPI 1588766562 M.D.
Verify on CMS →

EDWARD HEPWORTH, M.D.

Otolaryngic Allergy Physician in DENVER, 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
941
Medicare Part D claims · 231 beneficiaries · Otolaryngic Allergy Physician avg: 788
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$476.69
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWARD HEPWORTH, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 941 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
941
Part D claims, 2023
86%
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.

EDWARD HEPWORTH, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

EDWARD HEPWORTH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 EDWARD HEPWORTH, M.D.?

Below national average

NPI registry status

Active

Issued 09/01/2006

NPI 1588766562

Primary specialty

Otolaryngic Allergy Physician

Rare

151 US NPIs in this specialty

Medicare Part D claims

941 19% vs specialty avg

2023 prescription claims

Specialty avg: 788

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Otolaryngic Allergy Physician compares to other specialties among Colorado providers

Colorado providers

Otolaryngic Allergy Physician share within Colorado

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

Medicare quality performance — MIPS

EDWARD HEPWORTH, M.D.'s 2023 MIPS final score plotted against the Otolaryngic Allergy Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngic Allergy Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Otolaryngic Allergy Physician) — 75/100 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 HEPWORTH, M.D. appears in the CMS NPPES registry as a Otolaryngic Allergy Physician provider holding M.D. credentials at 3150 E 3RD AVE STE 300, DENVER, CO, 80206, with a listed phone of (720) 899-9489. NPI 1588766562 was issued on 09/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEPWORTH 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 941 prescription claims written by this provider, covering 231 Medicare beneficiaries and totaling roughly $152K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 1.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Otolaryngic Allergy Physician is a narrow specialty nationwide, with 151 enrolled providers across 38 states and an average of 788 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

3150 E 3RD AVE STE 300
DENVER, CO 80206

Provider Details

NPI 1588766562
Specialty Otolaryngic Allergy Physician
Credentials M.D.
Gender Male
NPI Issued 09/01/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWARD HEPWORTH, 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.

DENVER SINUS CARE
DENVER, CO
TRAUMA AND EMERGENCY SUBSPECIALTY SURGEONS PLLC
LONE TREE, CO

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 HEPWORTH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$477

Largest payer

Regeneron Healthcare Solutions, 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.

Brand vs generic prescribing mix · Typical

EDWARD HEPWORTH, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 941 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.

941
Total Claims
$152K
Total Drug Cost
231
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,338
Total Day Supply
36,035
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$108K
Generic Drug Cost
$45K
Opioid Claims
15 (1.6% rate)
Antibiotic Claims
97

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
1.35
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What EDWARD HEPWORTH, 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
Brilinta
Ticagrelor
66
Cromolyn Sodium
60
Montelukast Sodium
47
Ipratropium Bromide
44
Pentoxifylline
44
Dexamethasone
42
Chlorhexidine Gluconate
40
Baclofen
34
Pilocarpine Hcl
29
Mupirocin
25

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

Otolaryngic Allergy Physician Overview

How EDWARD HEPWORTH, M.D. fits within the Otolaryngic Allergy Physician landscape nationally.

151
Otolaryngic Allergy Physician Providers in US
38
States with Otolaryngic Allergy Physician
788
Avg Claims per Provider

EDWARD HEPWORTH, M.D.'s 941 claims are above the specialty average of 788.

Nearby Otolaryngic Allergy Physician Providers in Colorado

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

Compare Otolaryngic Allergy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD HEPWORTH, M.D.'s specialty?
EDWARD HEPWORTH, M.D. specializes in Otolaryngic Allergy Physician and practices in DENVER, Colorado. Credentials: M.D..
How much does EDWARD HEPWORTH, M.D. prescribe under Medicare Part D?
In 2023, EDWARD HEPWORTH, M.D. wrote 941 Medicare Part D claims totaling $152K in drug costs for 231 beneficiaries.
What is EDWARD HEPWORTH, M.D.'s Medicare quality score?
EDWARD HEPWORTH, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD HEPWORTH, M.D. located?
EDWARD HEPWORTH, M.D. is located at 3150 E 3RD AVE STE 300, DENVER, CO, 80206. Phone: (720) 899-9489.
What is EDWARD HEPWORTH, M.D.'s NPI number?
EDWARD HEPWORTH, M.D.'s National Provider Identifier (NPI) is 1588766562, issued on 09/01/2006.
Does EDWARD HEPWORTH, M.D. prescribe more brand-name or generic drugs?
EDWARD HEPWORTH, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $108K in brand drug costs.
Does EDWARD HEPWORTH, M.D. prescribe opioids?
Yes, EDWARD HEPWORTH, M.D. had 15 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Otolaryngic Allergy Physician providers are there in the US?
There are 151 Otolaryngic Allergy Physician providers across 38 states in the US. The average Otolaryngic Allergy Physician provider writes 788 Medicare Part D claims per year.
What drugs does EDWARD HEPWORTH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD HEPWORTH, M.D.'s most frequently prescribed drugs include Brilinta, Cromolyn Sodium, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD HEPWORTH, M.D. accept Medicare?
EDWARD HEPWORTH, M.D. appears in CMS Medicare data with 941 Part D claims and 231 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD HEPWORTH, M.D.'s credentials?
EDWARD HEPWORTH, M.D.'s NPI is 1588766562 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