2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1285084871 DO
Verify on CMS →

HEATHER PELUSO, DO

Plastic and Reconstructive Surgery Physician in PHILADELPHIA, Pennsylvania. 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
18
Medicare Part D claims · 11 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Industry payments
$67.72
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEATHER PELUSO, DO is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 18 claims across 11 beneficiaries . Industry payments of $67.72 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEATHER PELUSO, DO filed 18 Medicare Part D claims in 2023 across PHILADELPHIA, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HEATHER PELUSO, DO 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).

HEATHER PELUSO, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 06/15/2016

NPI 1285084871

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

18 79% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in Pennsylvania

How Plastic and Reconstructive Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Plastic and Reconstructive Surgery Physician share within Pennsylvania

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic and Reconstructive Surgery 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).

HEATHER PELUSO, DO is a Plastic and Reconstructive Surgery Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1285084871. 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.

HEATHER PELUSO, DO appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding DO credentials at 3509 N BROAD ST, PHILADELPHIA, PA, 19140, with a listed phone of (864) 419-7603. NPI 1285084871 was issued on 06/15/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PELUSO 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 18 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $68 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.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

3509 N BROAD ST
PHILADELPHIA, PA 19140

Provider Details

NPI 1285084871
Specialty Plastic and Reconstructive Surgery Physician
Credentials DO
Gender Female
NPI Issued 06/15/2016

Hospital and facility affiliations

Facilities where HEATHER PELUSO, DO 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.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
KENSINGTON, MD

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 HEATHER PELUSO, DO. Source: openpaymentsdata.cms.gov.

Total received

$68

Largest payer

Integra LifeSciences Corporation

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to HEATHER PELUSO, DO. To verify HEATHER PELUSO, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

18
Total Claims
$68
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
163
Brand Drug Cost
$0
Generic Drug Cost
$68

Patient Demographics

Average Patient Age
56.4 years
Avg HCC Risk Score
1.17

Plastic and Reconstructive Surgery Physician Overview

How HEATHER PELUSO, DO fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

HEATHER PELUSO, DO's 18 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Pennsylvania

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEATHER PELUSO, DO's specialty?
HEATHER PELUSO, DO specializes in Plastic and Reconstructive Surgery Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: DO.
How much does HEATHER PELUSO, DO prescribe under Medicare Part D?
In 2023, HEATHER PELUSO, DO wrote 18 Medicare Part D claims totaling $68 in drug costs for 11 beneficiaries.
Where is HEATHER PELUSO, DO located?
HEATHER PELUSO, DO is located at 3509 N BROAD ST, PHILADELPHIA, PA, 19140. Phone: (864) 419-7603.
What is HEATHER PELUSO, DO's NPI number?
HEATHER PELUSO, DO's National Provider Identifier (NPI) is 1285084871, issued on 06/15/2016.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
Does HEATHER PELUSO, DO accept Medicare?
HEATHER PELUSO, DO appears in CMS Medicare data with 18 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER PELUSO, DO's credentials?
HEATHER PELUSO, DO's NPI is 1285084871 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.
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