2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1891864666 DO
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ERIC HENSEN, DO

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in PALESTINE, Texas. 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
667
Medicare Part D claims · 287 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$25.99
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERIC HENSEN, DO reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 667 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
667
Part D claims, 2023
97%
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.

ERIC HENSEN, DO's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

ERIC HENSEN, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 ERIC HENSEN, DO?

Below national average

NPI registry status

Active

Issued 11/07/2006

NPI 1891864666

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

667 76% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Texas providers

Texas providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Texas

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Texas

Medicare quality performance — MIPS

ERIC HENSEN, DO's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 0/100 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).

ERIC HENSEN, DO is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider practicing in PALESTINE, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1891864666. 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.

ERIC HENSEN, DO appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding DO credentials at 112 MEDICAL DR, PALESTINE, TX, 75801, with a listed phone of (903) 729-0444. NPI 1891864666 was issued on 11/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENSEN 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 667 prescription claims written by this provider, covering 287 Medicare beneficiaries and totaling roughly $26K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 2.1%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

112 MEDICAL DR
PALESTINE, TX 75801

Provider Details

NPI 1891864666
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials DO
Gender Male
NPI Issued 11/07/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 ERIC HENSEN, DO. Source: openpaymentsdata.cms.gov.

Total received

$26

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to ERIC HENSEN, DO. To verify ERIC HENSEN, DO's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ERIC HENSEN, DO — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 667 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.

667
Total Claims
$26K
Total Drug Cost
287
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
762
Total Day Supply
14,141
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$4K
Generic Drug Cost
$21K
Opioid Claims
14 (2.1% rate)
Antibiotic Claims
135

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.25
Gender Split
57% female / 43% male
Age Distribution
<65: 34, 65-74: 116, 75-84: 94, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
108
Montelukast Sodium
84
Ipratropium Bromide
75
Hydroxychloroquine Sulfate
36
Cephalexin
32
Pantoprazole Sodium
27
Azithromycin
24
Clindamycin Hcl
23
Dexamethasone Sodium Phosphate
21
Epinephrine
21

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How ERIC HENSEN, DO fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

ERIC HENSEN, DO's 667 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Texas

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

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERIC HENSEN, DO's specialty?
ERIC HENSEN, DO specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in PALESTINE, Texas. Credentials: DO.
How much does ERIC HENSEN, DO prescribe under Medicare Part D?
In 2023, ERIC HENSEN, DO wrote 667 Medicare Part D claims totaling $26K in drug costs for 287 beneficiaries.
What is ERIC HENSEN, DO's Medicare quality score?
ERIC HENSEN, DO has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIC HENSEN, DO located?
ERIC HENSEN, DO is located at 112 MEDICAL DR, PALESTINE, TX, 75801. Phone: (903) 729-0444.
What is ERIC HENSEN, DO's NPI number?
ERIC HENSEN, DO's National Provider Identifier (NPI) is 1891864666, issued on 11/07/2006.
Does ERIC HENSEN, DO prescribe more brand-name or generic drugs?
ERIC HENSEN, DO's prescribing is 3% brand-name and 97% generic drugs by claim count, with $4K in brand drug costs.
Does ERIC HENSEN, DO prescribe opioids?
Yes, ERIC HENSEN, DO had 14 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does ERIC HENSEN, DO prescribe most often?
Based on 2023 Medicare Part D data, ERIC HENSEN, DO's most frequently prescribed drugs include Prednisone, Montelukast Sodium, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERIC HENSEN, DO accept Medicare?
ERIC HENSEN, DO appears in CMS Medicare data with 667 Part D claims and 287 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIC HENSEN, DO's credentials?
ERIC HENSEN, DO's NPI is 1891864666 with credentials DO. 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