NPPES file of Aug 9, 2026

Karl Heilman, MD

Cardiovascular Disease Physician · Rapid City, SD

Karl Heilman, MD is a cardiovascular disease physician with a practice address in Rapid City, South Dakota, and NPI 1659344430, issued on Feb 10, 2006. Check the license (South Dakota 5911, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, loaded Aug 27, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1659344430
Name
Karl Heilman
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
5911 SD
Self-reported in NPPES; status is on the state search
Practice location
353 Fairmont Blvd, Rapid City, SD 57701
Phone
(605) 399-4300
Enumerated
Feb 10, 2006
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 353 Fairmont Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Riley AckermanPhysician Assistant1073241790
  2. Shakeel Ahmed, MDInternal Medicine Physician1356773113
  3. Osama Ahsan, DOHospitalist Physician1043903891
  4. Bayan Al Share, MDHematology & Oncology Physician1235582065
  5. Ghassan Al-Shbool, MDHematology & Oncology Physician1215450937
  6. Marc Aldrich, MDInternal Medicine Physician1932209442

Verify Karl Heilman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
    Search for license 5911
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Open the South Dakota license search

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22% more Medicare Part D claims than the average cardiovascular disease physician in 2024

3,740 Medicare Part D claims for 583 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.

  1. Karl Heilman3,740
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate628 claims
  2. Warfarin Sodium252 claims
  3. Atorvastatin Calcium222 claims
  4. Losartan Potassium217 claims
  5. Eliquis152 claims
  6. Spironolactone133 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 97.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,863.79

18 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Karl Heilman$1,863.79
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Monument Health Network IncSpearfish, SD
  2. Monument Health Rapid City Hospital IncRapid City, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Cardiovascular Disease Physician providers in South Dakota

There are 45 cardiovascular disease physician records in South Dakota.

Other cardiovascular disease physician records in South Dakota

  1. Fawzi Ameer, M.D.Sioux Falls, SD1790195402
  2. Shazia Aziz, MDRapid City, SD1235791435
  3. J Bacharach, MDSioux Falls, SD1972566172
  4. Anurag Bajaj, M.D.Sioux Falls, SD1093955148
  5. Udit Bhatnagar, MDSioux Falls, SD1386087963
  6. Donald Bishop, MDSioux Falls, SD1447304076
  7. Amid Bitar, MDRapid City, SD1245761246
  8. Sherrie Brooks, D.O.,FACC,FACOISioux Falls, SD1720060858
  9. Paul Carpenter, MDSioux Falls, SD1598723603
  10. Richard Clark, M.D.Sioux Falls, SD1457466617

Common questions

What is Karl Heilman, MD's NPI number?

Karl Heilman, MD's National Provider Identifier (NPI) is 1659344430, issued on Feb 10, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Karl Heilman, MD located?

The NPPES record lists a practice address at 353 Fairmont Blvd, Rapid City, SD, 57701. Phone: (605) 399-4300. Providers update this record themselves, so call before visiting.

How can I verify Karl Heilman, MD's license?

NPPES lists South Dakota license number 5911, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Karl Heilman, MD prescribe under Medicare Part D?

In 2024, Karl Heilman, MD had 3,740 Medicare Part D claims for 583 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Karl Heilman, MD's MIPS final score?

The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.