HERAN MENGESHA
Internal Medicine Physician in NASHVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
HERAN MENGESHA reported a CMS MIPS final score of 89.5757/100 — above the 83.1 national average — and filed 611 Medicare Part D claims in 2023.
- 89.5757/100
- MIPS score · +6 vs avg
- 611
- Part D claims, 2023
- 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.
HERAN MENGESHA's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
90 Top 42% higher than 58% of 477,587 scored providers
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
HERAN MENGESHA 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).
What does the federal data show about HERAN MENGESHA?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Internal Medicine Physician compares to other specialties among Tennessee providers
Internal Medicine Physician share within Tennessee
Internal Medicine Physician is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
HERAN MENGESHA's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 89.5757/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) — 89.5757/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Internal Medicine Physician US NPIs
89.5757/100 MIPS final score — 6.5 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Internal Medicine Physician. Quality dim: 65.45.
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).
HERAN MENGESHA appears in the CMS NPPES registry as a Internal Medicine Physician provider at 1005 DR DB TODD JR BLVD, NASHVILLE, TN, 37208, with a listed phone of (615) 327-6000. NPI 1295198349 was issued on 04/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MENGESHA 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 611 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $37K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.5757/100 for the 2023 performance year (Quality 65.45), compared with the national average of 83.1.
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
Provider Details
| NPI | 1295198349 |
|---|---|
| Specialty | Internal Medicine Physician |
| Gender | Female |
| NPI Issued | 04/05/2016 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm HERAN MENGESHA's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where HERAN MENGESHA 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,350
- Total Day Supply
- 39,744
- Generic Drug Cost
- $12K
Patient Demographics
- Average Patient Age
- 65.9 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 26, 65-74: 41, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What HERAN MENGESHA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
55 claims
- Losartan Potassium
Losartan Potassium
38 claims
- Hydrochlorothiazide
Hydrochlorothiazide
35 claims
- Carvedilol
Carvedilol
27 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
24 claims
- Amlodipine Besylate
Amlodipine Besylate
22 claims
- Metoprolol Tartrate 20
Metoprolol Tartrate
20 claims
- Lisinopril 19
Lisinopril
19 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 55 |
| Losartan Potassium | 38 |
| Hydrochlorothiazide | 35 |
| Carvedilol | 27 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 24 |
| Amlodipine Besylate | 22 |
| Metoprolol Tartrate | 20 |
| Lisinopril | 19 |
| Montelukast Sodium | 18 |
| Levothyroxine Sodium | 17 |
* 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 HERAN MENGESHA fits within the Internal Medicine Physician landscape nationally.
HERAN MENGESHA's 611 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as MENGESHA.
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is HERAN MENGESHA's specialty? ▼
How much does HERAN MENGESHA prescribe under Medicare Part D? ▼
What is HERAN MENGESHA's Medicare quality score? ▼
Where is HERAN MENGESHA located? ▼
What is HERAN MENGESHA's NPI number? ▼
How many Internal Medicine Physician providers are there in the US? ▼
What drugs does HERAN MENGESHA prescribe most often? ▼
Does HERAN MENGESHA accept Medicare? ▼
How can I verify HERAN MENGESHA's credentials? ▼
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