2026 NPPES data Urology Physician NPI 1396011193 M.D.
Verify on CMS →

MARAH HEHEMANN, M.D.

Urology Physician in SEATTLE, Washington. 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
80
Medicare Part D claims · 27 beneficiaries · Urology Physician avg: 1K
MIPS score
93.0932/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$52.2K
77 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARAH HEHEMANN, M.D. is a Urology Physician ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 80 claims across 27 beneficiaries . Their CMS MIPS Final Score of 93.0932/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $52.2K across 77 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARAH HEHEMANN, M.D. reported a CMS MIPS final score of 93.0932 out of 100, above the 83.1 national average, and filed 80 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)

MARAH HEHEMANN, 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).

MARAH HEHEMANN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/26/2012

NPI 1396011193

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

80 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

93.0932/100 9.993200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Urology Physician compares to other specialties among Washington providers

Washington providers

Urology Physician share within Washington

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

Medicare quality performance — MIPS

MARAH HEHEMANN, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
93.0932/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 93.0932/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Urology Physician) — 93.0932/100 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).

MARAH HEHEMANN, M.D. is a Urology Physician provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1396011193. 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.

MARAH HEHEMANN, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 1959 NE PACIFIC ST, SEATTLE, WA, 98195, with a listed phone of (206) 520-5000. NPI 1396011193 was issued on 03/26/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEHEMANN 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 80 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $9K in drug spend. 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 93.0932/100 for the 2023 performance year (Quality 73.9573), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1959 NE PACIFIC ST
SEATTLE, WA 98195

Provider Details

NPI 1396011193
Specialty Urology Physician
Credentials M.D.
Gender Female
NPI Issued 03/26/2012

CMS Quality Score (MIPS)

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

93.0932
Final Score
Avg: 83.1
73.9573
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARAH HEHEMANN, 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.

THE ASSOCIATION OF UNIVERSITY PHYSICIANS
SEATTLE, WA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MARAH HEHEMANN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$52.2K

Largest payer

COLOPLAST CORP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to MARAH HEHEMANN, M.D.. To verify MARAH HEHEMANN, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington 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.

80
Total Claims
$9K
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
152
Total Day Supply
4,187
Generic Drug Cost
$3K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.12
Gender Split
0% female / 100% male
Age Distribution
<65: 0, 65-74: 18, 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.

Drug Claims
Oxybutynin Chloride Er
Oxybutynin Chloride
14
Tamsulosin Hcl
11

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

Urology Physician Overview

How MARAH HEHEMANN, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

MARAH HEHEMANN, M.D.'s 80 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Washington

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

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

Frequently Asked Questions

What is MARAH HEHEMANN, M.D.'s specialty?
MARAH HEHEMANN, M.D. specializes in Urology Physician and practices in SEATTLE, Washington. Credentials: M.D..
How much does MARAH HEHEMANN, M.D. prescribe under Medicare Part D?
In 2023, MARAH HEHEMANN, M.D. wrote 80 Medicare Part D claims totaling $9K in drug costs for 27 beneficiaries.
What is MARAH HEHEMANN, M.D.'s Medicare quality score?
MARAH HEHEMANN, M.D. has a CMS MIPS Final Score of 93.0932/100 (Quality: 73.9573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARAH HEHEMANN, M.D. located?
MARAH HEHEMANN, M.D. is located at 1959 NE PACIFIC ST, SEATTLE, WA, 98195. Phone: (206) 520-5000.
What is MARAH HEHEMANN, M.D.'s NPI number?
MARAH HEHEMANN, M.D.'s National Provider Identifier (NPI) is 1396011193, issued on 03/26/2012.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does MARAH HEHEMANN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARAH HEHEMANN, M.D.'s most frequently prescribed drugs include Oxybutynin Chloride Er, Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARAH HEHEMANN, M.D. accept Medicare?
MARAH HEHEMANN, M.D. appears in CMS Medicare data with 80 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARAH HEHEMANN, M.D.'s credentials?
MARAH HEHEMANN, M.D.'s NPI is 1396011193 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