2026 NPPES data Internal Medicine Physician NPI 1295719870 MD
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FRANKLIN HEREDIA, MD

Internal Medicine Physician in IRVING, 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
3K
Medicare Part D claims · 238 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

FRANKLIN HEREDIA, MD filed 3,418 Medicare Part D claims in 2023 as a Internal Medicine Physician in IRVING, Texas, prescribing 86% generic.

3K
Part D claims, 2023
86%
generic prescribing

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.

FRANKLIN HEREDIA, MD's Medicare Part D volume vs every U.S. prescriber

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

3,418 Top 10% higher than 90% 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%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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-eligible specialty (heuristic — not verified)

FRANKLIN HEREDIA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about FRANKLIN HEREDIA, MD?

Quality data not reported

NPI registry status

Active

Issued 12/06/2005

NPI 1295719870

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

3,418 26% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers

Internal Medicine Physician share within Texas

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Internal 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).

FRANKLIN HEREDIA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 4545 FULLER DRIVE, IRVING, TX, 75038, with a listed phone of (972) 870-5511. NPI 1295719870 was issued on 12/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEREDIA 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 3,418 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $291K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 11.7%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4545 FULLER DRIVE
IRVING, TX 75038

Provider Details

NPI 1295719870
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/06/2005

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 FRANKLIN HEREDIA, MD. To verify FRANKLIN HEREDIA, MD'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 · Typical

FRANKLIN HEREDIA, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 3,418 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.

3,418
Total Claims
$291K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,637
Total Day Supply
190,604
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$209K
Generic Drug Cost
$77K
Opioid Claims
400 (11.7% rate)
Antibiotic Claims
175

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
2.78
Gender Split
63% female / 37% male
Age Distribution
<65: 72, 65-74: 91, 75-84: 43, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What FRANKLIN HEREDIA, MD 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
282
Gabapentin
113
Amlodipine Besylate
111
Lisinopril
102
Metformin Hcl
98
Albuterol Sulfate Hfa
Albuterol Sulfate
95
Atorvastatin Calcium
82
Furosemide
82
Losartan Potassium
76
Levothyroxine Sodium
69

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

Internal Medicine Physician Overview

How FRANKLIN HEREDIA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

FRANKLIN HEREDIA, MD's 3,418 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

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

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

Frequently Asked Questions

What is FRANKLIN HEREDIA, MD's specialty?
FRANKLIN HEREDIA, MD specializes in Internal Medicine Physician and practices in IRVING, Texas. Credentials: MD.
How much does FRANKLIN HEREDIA, MD prescribe under Medicare Part D?
In 2023, FRANKLIN HEREDIA, MD wrote 3,418 Medicare Part D claims totaling $291K in drug costs for 238 beneficiaries.
Where is FRANKLIN HEREDIA, MD located?
FRANKLIN HEREDIA, MD is located at 4545 FULLER DRIVE, IRVING, TX, 75038. Phone: (972) 870-5511.
What is FRANKLIN HEREDIA, MD's NPI number?
FRANKLIN HEREDIA, MD's National Provider Identifier (NPI) is 1295719870, issued on 12/06/2005.
Does FRANKLIN HEREDIA, MD prescribe more brand-name or generic drugs?
FRANKLIN HEREDIA, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $209K in brand drug costs.
Does FRANKLIN HEREDIA, MD prescribe opioids?
Yes, FRANKLIN HEREDIA, MD had 400 opioid claims in 2023 with an opioid prescribing rate of 11.7%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does FRANKLIN HEREDIA, MD prescribe most often?
Based on 2023 Medicare Part D data, FRANKLIN HEREDIA, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANKLIN HEREDIA, MD accept Medicare?
FRANKLIN HEREDIA, MD appears in CMS Medicare data with 3,418 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANKLIN HEREDIA, MD's credentials?
FRANKLIN HEREDIA, MD's NPI is 1295719870 with credentials MD. 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