2026 NPPES data Family Medicine Physician NPI 1255364568 MD
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HENRY DETHLEFS, MD

Family Medicine Physician in OMAHA, Nebraska. 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
2K
Medicare Part D claims · 108 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: HENRY DETHLEFS, MD is a Family Medicine Physician ([object Object]) practicing in OMAHA, Nebraska with a Medicare Part D prescribing footprint of 2K claims across 108 beneficiaries — 18% brand-name prescribing .

What stands out: HENRY DETHLEFS, MD filed 2,068 Medicare Part D claims in 2023 across OMAHA, Nebraska. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HENRY DETHLEFS, MD 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).

HENRY DETHLEFS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/09/2006

NPI 1255364568

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,068 39% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Nebraska

How Family Medicine Physician compares to other specialties among Nebraska providers

Nebraska providers

Family Medicine Physician share within Nebraska

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

Specialty board-certification context

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

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

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

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

HENRY DETHLEFS, MD is a Family Medicine Physician provider practicing in OMAHA, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255364568. 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.

HENRY DETHLEFS, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4920 S 30TH ST, OMAHA, NE, 68107, with a listed phone of (402) 734-4110. NPI 1255364568 was issued on 07/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DETHLEFS 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 2,068 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $554K in drug spend, split 18% brand-name and 82% 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

4920 S 30TH ST
OMAHA, NE 68107

Provider Details

NPI 1255364568
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/09/2006

Hospital and facility affiliations

Facilities where HENRY DETHLEFS, 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.

ONEWORLD COMMUNITY HEALTH CENTERS INC
OMAHA, NE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

HENRY DETHLEFS, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,068 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.

2,068
Total Claims
$554K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,731
Total Day Supply
140,590
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$521K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.36
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
276
Amlodipine Besylate
114
Metformin Hcl Er
Metformin Hcl
101
Pioglitazone Hcl
95
Lisinopril-Hydrochlorothiazide
Lisinopril/Hydrochlorothiazide
75
Trulicity
Dulaglutide
69
Metformin Hcl
64
Losartan-Hydrochlorothiazide
Losartan/Hydrochlorothiazide
44
Jardiance
Empagliflozin
42
Losartan Potassium
42

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

Family Medicine Physician Overview

How HENRY DETHLEFS, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

HENRY DETHLEFS, MD's 2,068 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Nebraska

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

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

Frequently Asked Questions

What is HENRY DETHLEFS, MD's specialty?
HENRY DETHLEFS, MD specializes in Family Medicine Physician and practices in OMAHA, Nebraska. Credentials: MD.
How much does HENRY DETHLEFS, MD prescribe under Medicare Part D?
In 2023, HENRY DETHLEFS, MD wrote 2,068 Medicare Part D claims totaling $554K in drug costs for 108 beneficiaries.
Where is HENRY DETHLEFS, MD located?
HENRY DETHLEFS, MD is located at 4920 S 30TH ST, OMAHA, NE, 68107. Phone: (402) 734-4110.
What is HENRY DETHLEFS, MD's NPI number?
HENRY DETHLEFS, MD's National Provider Identifier (NPI) is 1255364568, issued on 07/09/2006.
Does HENRY DETHLEFS, MD prescribe more brand-name or generic drugs?
HENRY DETHLEFS, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $521K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does HENRY DETHLEFS, MD prescribe most often?
Based on 2023 Medicare Part D data, HENRY DETHLEFS, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HENRY DETHLEFS, MD accept Medicare?
HENRY DETHLEFS, MD appears in CMS Medicare data with 2,068 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HENRY DETHLEFS, MD's credentials?
HENRY DETHLEFS, MD's NPI is 1255364568 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