2026 NPPES data Urology Physician NPI 1558611525 M.D.
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HUONG HEGDE, M.D.

Urology Physician in PLANO, 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
2K
Medicare Part D claims · 470 beneficiaries · Urology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4449/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$319.06
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HUONG HEGDE, M.D. reported a CMS MIPS final score of 89.4449/100 — above the 83.1 national average — and filed 1,648 Medicare Part D claims in 2023.

89.4449/100
MIPS score · +6 vs avg
2K
Part D claims, 2023
82%
generic prescribing
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.

HUONG HEGDE, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 42% higher than 58% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

HUONG HEGDE, M.D. 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 HUONG HEGDE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/17/2012

NPI 1558611525

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,648 29% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

89.4449/100 6.34490000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Urology Physician compares to other specialties among Texas providers

Texas providers

Urology Physician share within Texas

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

Medicare quality performance — MIPS

HUONG HEGDE, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
89.4449/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 89.4449/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Urology Physician) — 89.4449/100 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).

HUONG HEGDE, M.D. is a Urology Physician provider practicing in PLANO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1558611525. 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.

HUONG HEGDE, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 5425 W SPRING CREEK PKWY, PLANO, TX, 75024, with a listed phone of (972) 403-5425. NPI 1558611525 was issued on 09/17/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEGDE 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 1,648 prescription claims written by this provider, covering 470 Medicare beneficiaries and totaling roughly $275K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 1.0%. 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 89.4449/100 for the 2023 performance year (Quality 75.8575), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

5425 W SPRING CREEK PKWY
PLANO, TX 75024

Provider Details

NPI 1558611525
Specialty Urology Physician
Credentials M.D.
Gender Female
NPI Issued 09/17/2012

CMS Quality Score (MIPS)

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

89.4449
Final Score
Avg: 83.1
75.8575
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HUONG HEGDE, M.D. 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.

TEXAS ONCOLOGY PA
MCKINNEY, TX

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 HUONG HEGDE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$319

Largest payer

Boston Scientific 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 — 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 HUONG HEGDE, M.D.. To verify HUONG HEGDE, M.D.'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

HUONG HEGDE, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 1,648 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.

1,648
Total Claims
$275K
Total Drug Cost
470
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,051
Total Day Supply
81,917
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$234K
Generic Drug Cost
$42K
Opioid Claims
16 (1.0% rate)
Antibiotic Claims
417

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.53
Gender Split
51% female / 49% male
Age Distribution
<65: 20, 65-74: 189, 75-84: 198, 85+: 63

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
462
Myrbetriq
Mirabegron
200
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
93
Estradiol
83
Gemtesa
Vibegron
80
Ciprofloxacin Hcl
65
Finasteride
53
Solifenacin Succinate
53
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
49
Levofloxacin
46

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

Urology Physician Overview

How HUONG HEGDE, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

HUONG HEGDE, M.D.'s 1,648 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Texas

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

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

Frequently Asked Questions

What is HUONG HEGDE, M.D.'s specialty?
HUONG HEGDE, M.D. specializes in Urology Physician and practices in PLANO, Texas. Credentials: M.D..
How much does HUONG HEGDE, M.D. prescribe under Medicare Part D?
In 2023, HUONG HEGDE, M.D. wrote 1,648 Medicare Part D claims totaling $275K in drug costs for 470 beneficiaries.
What is HUONG HEGDE, M.D.'s Medicare quality score?
HUONG HEGDE, M.D. has a CMS MIPS Final Score of 89.4449/100 (Quality: 75.8575). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HUONG HEGDE, M.D. located?
HUONG HEGDE, M.D. is located at 5425 W SPRING CREEK PKWY, PLANO, TX, 75024. Phone: (972) 403-5425.
What is HUONG HEGDE, M.D.'s NPI number?
HUONG HEGDE, M.D.'s National Provider Identifier (NPI) is 1558611525, issued on 09/17/2012.
Does HUONG HEGDE, M.D. prescribe more brand-name or generic drugs?
HUONG HEGDE, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $234K in brand drug costs.
Does HUONG HEGDE, M.D. prescribe opioids?
Yes, HUONG HEGDE, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does HUONG HEGDE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HUONG HEGDE, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Myrbetriq, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HUONG HEGDE, M.D. accept Medicare?
HUONG HEGDE, M.D. appears in CMS Medicare data with 1,648 Part D claims and 470 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HUONG HEGDE, M.D.'s credentials?
HUONG HEGDE, M.D.'s NPI is 1558611525 with credentials M.D.. 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