2026 NPPES data Gynecology Physician NPI 1558324863 MD
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LAURICE HEINE, MD

Gynecology Physician in CHAMBERSBURG, Pennsylvania. 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
471
Medicare Part D claims · 182 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

LAURICE HEINE, MD filed 471 Medicare Part D claims in 2023 as a Gynecology Physician in CHAMBERSBURG, Pennsylvania, prescribing 86% generic.

471
Part D claims, 2023
86%
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.

LAURICE HEINE, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

471 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

LAURICE HEINE, 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 LAURICE HEINE, MD?

Quality data not reported

NPI registry status

Active

Issued 04/08/2006

NPI 1558324863

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

471 60% vs specialty avg

2023 prescription claims

Specialty avg: 295

Specialty distribution in Pennsylvania

How Gynecology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Gynecology Physician share within Pennsylvania

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

Specialty board-certification context

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

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

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

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

LAURICE HEINE, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 12 ST PAUL DR STE 207, CHAMBERSBURG, PA, 17201, with a listed phone of (717) 217-6882. NPI 1558324863 was issued on 04/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEINE 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 471 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $37K in drug spend, split 14% brand-name and 86% 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.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

12 ST PAUL DR STE 207
CHAMBERSBURG, PA 17201

Provider Details

NPI 1558324863
Specialty Gynecology Physician
Credentials MD
Gender Female
NPI Issued 04/08/2006

Hospital and facility affiliations

Facilities where LAURICE HEINE, 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.

WELLSPAN MEDICAL GROUP
CHAMBERSBURG, 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 LAURICE HEINE, MD. To verify LAURICE HEINE, 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.

Brand vs generic prescribing mix · Typical

LAURICE HEINE, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 471 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.

471
Total Claims
$37K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,000
Total Day Supply
27,765
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$15K
Generic Drug Cost
$22K
Antibiotic Claims
51

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
0.82
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What LAURICE HEINE, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
144
Ibandronate Sodium
29
Betamethasone Dipropionate
25
Alendronate Sodium
22
Estradiol (Once Weekly)
Estradiol
18
Cephalexin
17
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
16
Valacyclovir
Valacyclovir Hcl
15
Fluconazole
11
Oxybutynin Chloride Er
Oxybutynin Chloride
11

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

Gynecology Physician Overview

How LAURICE HEINE, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

LAURICE HEINE, MD's 471 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is LAURICE HEINE, MD's specialty?
LAURICE HEINE, MD specializes in Gynecology Physician and practices in CHAMBERSBURG, Pennsylvania. Credentials: MD.
How much does LAURICE HEINE, MD prescribe under Medicare Part D?
In 2023, LAURICE HEINE, MD wrote 471 Medicare Part D claims totaling $37K in drug costs for 182 beneficiaries.
Where is LAURICE HEINE, MD located?
LAURICE HEINE, MD is located at 12 ST PAUL DR STE 207, CHAMBERSBURG, PA, 17201. Phone: (717) 217-6882.
What is LAURICE HEINE, MD's NPI number?
LAURICE HEINE, MD's National Provider Identifier (NPI) is 1558324863, issued on 04/08/2006.
Does LAURICE HEINE, MD prescribe more brand-name or generic drugs?
LAURICE HEINE, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $15K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does LAURICE HEINE, MD prescribe most often?
Based on 2023 Medicare Part D data, LAURICE HEINE, MD's most frequently prescribed drugs include Estradiol, Ibandronate Sodium, Betamethasone Dipropionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAURICE HEINE, MD accept Medicare?
LAURICE HEINE, MD appears in CMS Medicare data with 471 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAURICE HEINE, MD's credentials?
LAURICE HEINE, MD's NPI is 1558324863 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

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