2026 NPPES data Obstetrics Physician NPI 1013971431 MD
Verify on CMS →

HEATHER WILSON, MD

Obstetrics Physician in LOUISVILLE, Kentucky. 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
187
Medicare Part D claims · 60 beneficiaries · Obstetrics Physician avg: 319
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$181.88
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEATHER WILSON, MD is a Obstetrics Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 187 claims across 60 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $181.88 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEATHER WILSON, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 187 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)

HEATHER WILSON, MD 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).

HEATHER WILSON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/13/2006

NPI 1013971431

Primary specialty

Obstetrics Physician

Niche

1,402 US NPIs in this specialty

Medicare Part D claims

187 41% vs specialty avg

2023 prescription claims

Specialty avg: 319

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Obstetrics Physician compares to other specialties among Kentucky providers

Kentucky providers

Obstetrics Physician share within Kentucky

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

Medicare quality performance — MIPS

HEATHER WILSON, MD's 2023 MIPS final score plotted against the Obstetrics Physician national average

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

MIPS final score (Obstetrics Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Obstetrics Physician) — 100/100 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).

HEATHER WILSON, MD is a Obstetrics Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1013971431. 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 WILSON, MD appears in the CMS NPPES registry as a Obstetrics Physician provider holding MD credentials at 4123 DUTCHMANS LN STE 500, LOUISVILLE, KY, 40207, with a listed phone of (502) 894-9494. NPI 1013971431 was issued on 04/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILSON 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 187 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $10K in drug spend, split 11% brand-name and 89% generic by claim count. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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

4123 DUTCHMANS LN STE 500
LOUISVILLE, KY 40207

Provider Details

NPI 1013971431
Specialty Obstetrics Physician
Credentials MD
Gender Female
NPI Issued 04/13/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HEATHER WILSON, MD 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.

COMMUNITY MEDICAL ASSOCIATES INC
LOUISVILLE, KY

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 WILSON, MD. Source: openpaymentsdata.cms.gov.

Total received

$182

Largest payer

Hologic Sales and Service, LLC

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

HEATHER WILSON, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 187 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.

187
Total Claims
$10K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
321
Total Day Supply
8,584
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$4K
Generic Drug Cost
$6K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
66.4 years
Avg HCC Risk Score
1.01
Age Distribution
<65: 13, 65-74: 32, 75-84: 15, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
19
Tolterodine Tartrate Er
Tolterodine Tartrate
15
Ibandronate Sodium
13

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

Obstetrics Physician Overview

How HEATHER WILSON, MD fits within the Obstetrics Physician landscape nationally.

1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider

HEATHER WILSON, MD's 187 claims are below the specialty average of 319.

Nearby Obstetrics Physician Providers in Kentucky

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

Compare Obstetrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEATHER WILSON, MD's specialty?
HEATHER WILSON, MD specializes in Obstetrics Physician and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does HEATHER WILSON, MD prescribe under Medicare Part D?
In 2023, HEATHER WILSON, MD wrote 187 Medicare Part D claims totaling $10K in drug costs for 60 beneficiaries.
What is HEATHER WILSON, MD's Medicare quality score?
HEATHER WILSON, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEATHER WILSON, MD located?
HEATHER WILSON, MD is located at 4123 DUTCHMANS LN STE 500, LOUISVILLE, KY, 40207. Phone: (502) 894-9494.
What is HEATHER WILSON, MD's NPI number?
HEATHER WILSON, MD's National Provider Identifier (NPI) is 1013971431, issued on 04/13/2006.
Does HEATHER WILSON, MD prescribe more brand-name or generic drugs?
HEATHER WILSON, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $4K in brand drug costs.
How many Obstetrics Physician providers are there in the US?
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
What drugs does HEATHER WILSON, MD prescribe most often?
Based on 2023 Medicare Part D data, HEATHER WILSON, MD's most frequently prescribed drugs include Estradiol, Tolterodine Tartrate Er, Ibandronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEATHER WILSON, MD accept Medicare?
HEATHER WILSON, MD appears in CMS Medicare data with 187 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER WILSON, MD's credentials?
HEATHER WILSON, MD's NPI is 1013971431 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.
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