2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1700080108 M.D.
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KRISTEN HEINAN, M.D.

Neurology with Special Qualifications in Child Neurology Physician in ROANOKE, Virginia. 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
190
Medicare Part D claims · 21 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: KRISTEN HEINAN, M.D. is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in ROANOKE, Virginia with a Medicare Part D prescribing footprint of 190 claims across 21 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 79.3949/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KRISTEN HEINAN, M.D. reported a CMS MIPS final score of 79.3949 out of 100, below the 83.1 national average, and filed 190 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KRISTEN HEINAN, 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).

KRISTEN HEINAN, M.D. at a glance

Near national average

NPI registry status

Active

Issued 06/12/2007

NPI 1700080108

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

190 47% vs specialty avg

2023 prescription claims

Specialty avg: 359

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Virginia providers

Virginia providers

Neurology with Special Qualifications in Child Neurology Physician share within Virginia

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Virginia

Medicare quality performance — MIPS

KRISTEN HEINAN, M.D.'s 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 79.3949/100 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).

KRISTEN HEINAN, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in ROANOKE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1700080108. 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.

KRISTEN HEINAN, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 4348 ELECTRIC RD, ROANOKE, VA, 24018, with a listed phone of (540) 769-0976. NPI 1700080108 was issued on 06/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEINAN 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 190 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $32K in drug spend, split 10% brand-name and 90% generic by claim count. 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

4348 ELECTRIC RD
ROANOKE, VA 24018

Provider Details

NPI 1700080108
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials M.D.
Gender Female
NPI Issued 06/12/2007

CMS Quality Score (MIPS)

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

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRISTEN HEINAN, 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.

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
CHARLOTTESVILLE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

KRISTEN HEINAN, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 190 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.

190
Total Claims
$32K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
319
Total Day Supply
9,468
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$20K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
42.1 years
Avg HCC Risk Score
1.76

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levetiracetam
26
Lamotrigine
19
Diazepam
17
Clonazepam
11
Phenobarbital
11

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

Neurology with Special Qualifications in Child Neurology Physician Overview

How KRISTEN HEINAN, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

KRISTEN HEINAN, M.D.'s 190 claims are below the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Virginia

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

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTEN HEINAN, M.D.'s specialty?
KRISTEN HEINAN, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in ROANOKE, Virginia. Credentials: M.D..
How much does KRISTEN HEINAN, M.D. prescribe under Medicare Part D?
In 2023, KRISTEN HEINAN, M.D. wrote 190 Medicare Part D claims totaling $32K in drug costs for 21 beneficiaries.
What is KRISTEN HEINAN, M.D.'s Medicare quality score?
KRISTEN HEINAN, M.D. has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTEN HEINAN, M.D. located?
KRISTEN HEINAN, M.D. is located at 4348 ELECTRIC RD, ROANOKE, VA, 24018. Phone: (540) 769-0976.
What is KRISTEN HEINAN, M.D.'s NPI number?
KRISTEN HEINAN, M.D.'s National Provider Identifier (NPI) is 1700080108, issued on 06/12/2007.
Does KRISTEN HEINAN, M.D. prescribe more brand-name or generic drugs?
KRISTEN HEINAN, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $20K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does KRISTEN HEINAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN HEINAN, M.D.'s most frequently prescribed drugs include Levetiracetam, Lamotrigine, Diazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN HEINAN, M.D. accept Medicare?
KRISTEN HEINAN, M.D. appears in CMS Medicare data with 190 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN HEINAN, M.D.'s credentials?
KRISTEN HEINAN, M.D.'s NPI is 1700080108 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