NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1194348037 MD
Verify on CMS → Kevin He, MD
Infectious Disease Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,314 in Infectious Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
172
Medicare Part D claims · 48 beneficiaries · Infectious Disease Physician avg: 816
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kevin He, MD filed 172 Medicare Part D claims in 2023 as a Infectious Disease Physician in Philadelphia, Pennsylvania.
- 172
- 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.
Kevin He, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
172 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Kevin He, 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).
What does the federal data show about Kevin He, MD?
Quality data not reportedPrimary specialty
Infectious Disease Physician
Medicare Part D claims
172 79% vs specialty avg
Specialty distribution in Pennsylvania
How Infectious Disease Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Infectious Disease Physician. Verify directly:
How MIPS and board certification work
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).
Kevin He, MD appears in the CMS NPPES registry as a Infectious Disease Physician provider holding MD credentials at 1101 CHESTNUT ST FL 11, Philadelphia, PA, 19107, with a listed phone of (215) 955-7785. NPI 1194348037 was issued on 05/27/2020.
Medicare Part D records for calendar year 2023 show 172 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $190K in drug spend.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,314 enrolled providers across 54 states and an average of 816 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 | 1194348037 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/27/2020 |
Hospital and facility affiliations
Facilities where Kevin He, 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.
Jefferson University Physicians
Philadelphia, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Kevin He, MD. To verify Kevin He, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
172
Total Claims
$190K
Total Drug Cost
48
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 290
- Total Day Supply
- 8,233
- Generic Drug Cost
- $7K
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 3.22
- Gender Split
- 42% female / 58% male
- Age Distribution
- <65: 16, 65-74: 14, 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 Kevin He, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Descovy
Descovy
13 claims
- Dovato
Dovato
12 claims
- Atorvastatin Calcium
Atorvastatin Calcium
11 claims
- Biktarvy
Biktarvy
11 claims
| Drug | Claims |
|---|---|
| Descovy Emtricitabine/Tenofov Alafenam | 13 |
| Dovato Dolutegravir Sodium/Lamivudine | 12 |
| Atorvastatin Calcium | 11 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Kevin He, MD fits within the Infectious Disease Physician landscape nationally.
8,314
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Kevin He, MD's 172 claims are below the specialty average of 816.
Nearby Infectious Disease Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as He.
Dr. Rasha Abdulmassih
MD
Pittsburgh, PA
Dr. David Abel
D.O.
Lancaster, PA
Dr. Monica Ahuja
MD
Wilkes Barre, PA
Dr. Nancy Aitcheson
MD
Philadelphia, PA
Dr. Okan Akay
M.D.
Harrisburg, PA
Compare Infectious Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Infectious Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Kevin He, MD's specialty? ▼
Kevin He, MD specializes in Infectious Disease Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Kevin He, MD prescribe under Medicare Part D? ▼
In 2023, Kevin He, MD wrote 172 Medicare Part D claims totaling $190K in drug costs for 48 beneficiaries.
Where is Kevin He, MD located? ▼
Kevin He, MD is located at 1101 CHESTNUT ST FL 11, Philadelphia, PA, 19107. Phone: (215) 955-7785.
What is Kevin He, MD's NPI number? ▼
Kevin He, MD's National Provider Identifier (NPI) is 1194348037, issued on 05/27/2020.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,314 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does Kevin He, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kevin He, MD's most frequently prescribed drugs include Descovy, Dovato, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kevin He, MD accept Medicare? ▼
Kevin He, MD appears in CMS Medicare data with 172 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin He, MD's credentials? ▼
Kevin He, MD's NPI is 1194348037 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.