2026 NPPES data Periodontics NPI 1265505648 D.D.S.
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KARL HEINZELMANN, D.D.S.

Periodontics in ROSWELL, Georgia. 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
938
Medicare Part D claims · 221 beneficiaries · Periodontics avg: 264
What the federal data reveals: KARL HEINZELMANN, D.D.S. is a Periodontics ([object Object]) practicing in ROSWELL, Georgia with a Medicare Part D prescribing footprint of 938 claims across 221 beneficiaries .

What stands out: KARL HEINZELMANN, D.D.S. filed 938 Medicare Part D claims in 2023 across ROSWELL, Georgia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KARL HEINZELMANN, D.D.S. at a glance

Quality data not reported

NPI registry status

Active

Issued 11/15/2006

NPI 1265505648

Primary specialty

Periodontics

Mid-sized

6,061 US NPIs in this specialty

Medicare Part D claims

938 255% vs specialty avg

2023 prescription claims

Specialty avg: 264

Specialty distribution in Georgia

How Periodontics compares to other specialties among Georgia providers

Georgia providers

Periodontics share within Georgia

1. Periodontics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Periodontics share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Periodontics (ABMS / AOA reference)

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

Est. board-certified rate (Periodontics) — ABMS / AOA estimate

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

KARL HEINZELMANN, D.D.S. is a Periodontics provider practicing in ROSWELL, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.D.S.. NPI: 1265505648. 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.

KARL HEINZELMANN, D.D.S. appears in the CMS NPPES registry as a Periodontics provider holding D.D.S. credentials at 11775 POINTE PL, ROSWELL, GA, 30076, with a listed phone of (770) 475-3398. NPI 1265505648 was issued on 11/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEINZELMANN 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 938 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 19.2%. 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.

Periodontics is a mid-sized specialty nationwide, with 6,061 enrolled providers across 53 states and an average of 264 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

11775 POINTE PL
ROSWELL, GA 30076

Provider Details

NPI 1265505648
Specialty Periodontics
Credentials D.D.S.
Gender Male
NPI Issued 11/15/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

938
Total Claims
$3K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
938
Total Day Supply
7,946
Brand Drug Cost
$0
Generic Drug Cost
$3K
Opioid Claims
180 (19.2% rate)
Antibiotic Claims
298

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
0.72
Gender Split
50% female / 50% 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
Amoxicillin
245
Chlorhexidine Gluconate
234
Naproxen
213
Tramadol Hcl
153
Azithromycin
31
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
27
Clindamycin Hcl
18

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

Periodontics Overview

How KARL HEINZELMANN, D.D.S. fits within the Periodontics landscape nationally.

6,061
Periodontics Providers in US
53
States with Periodontics
264
Avg Claims per Provider

KARL HEINZELMANN, D.D.S.'s 938 claims are above the specialty average of 264.

Nearby Periodontics Providers in Georgia

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

Compare Periodontics nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARL HEINZELMANN, D.D.S.'s specialty?
KARL HEINZELMANN, D.D.S. specializes in Periodontics and practices in ROSWELL, Georgia. Credentials: D.D.S..
How much does KARL HEINZELMANN, D.D.S. prescribe under Medicare Part D?
In 2023, KARL HEINZELMANN, D.D.S. wrote 938 Medicare Part D claims totaling $3K in drug costs for 221 beneficiaries.
Where is KARL HEINZELMANN, D.D.S. located?
KARL HEINZELMANN, D.D.S. is located at 11775 POINTE PL, ROSWELL, GA, 30076. Phone: (770) 475-3398.
What is KARL HEINZELMANN, D.D.S.'s NPI number?
KARL HEINZELMANN, D.D.S.'s National Provider Identifier (NPI) is 1265505648, issued on 11/15/2006.
Does KARL HEINZELMANN, D.D.S. prescribe opioids?
Yes, KARL HEINZELMANN, D.D.S. had 180 opioid claims in 2023 with an opioid prescribing rate of 19.2%.
How many Periodontics providers are there in the US?
There are 6,061 Periodontics providers across 53 states in the US. The average Periodontics provider writes 264 Medicare Part D claims per year.
What drugs does KARL HEINZELMANN, D.D.S. prescribe most often?
Based on 2023 Medicare Part D data, KARL HEINZELMANN, D.D.S.'s most frequently prescribed drugs include Amoxicillin, Chlorhexidine Gluconate, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL HEINZELMANN, D.D.S. accept Medicare?
KARL HEINZELMANN, D.D.S. appears in CMS Medicare data with 938 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL HEINZELMANN, D.D.S.'s credentials?
KARL HEINZELMANN, D.D.S.'s NPI is 1265505648 with credentials D.D.S.. 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