2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1396164968 M.D.
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MARIA HENAO, M.D.

Student in an Organized Health Care Education/Training Program in HERSHEY, 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
595
Medicare Part D claims · 89 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.7884/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$318.46
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARIA HENAO, M.D. reported a CMS MIPS final score of 71.7884/100 — below the 83.1 national average — and filed 595 Medicare Part D claims in 2023.

71.7884/100
MIPS score · -11 vs avg
595
Part D claims, 2023
38%
generic prescribing
$318.46
industry payments (Sunshine Act)

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.

MARIA HENAO, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

72 9th percentile higher than 9% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about MARIA HENAO, M.D.?

Below national average

NPI registry status

Active

Issued 04/10/2014

NPI 1396164968

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

595 30% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

71.7884/100 11.311599999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Student in an Organized Health Care Education/Training Program compares to other specialties among Pennsylvania providers

Pennsylvania providers

Student in an Organized Health Care Education/Training Program share within Pennsylvania

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Pennsylvania

Medicare quality performance — MIPS

MARIA HENAO, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
71.7884/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 71.7884/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 71.7884/100 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).

MARIA HENAO, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 500 UNIVERSITY DR, HERSHEY, PA, 17033, with a listed phone of (717) 531-8903. NPI 1396164968 was issued on 04/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENAO 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 595 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 62% brand-name and 38% 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 71.7884/100 for the 2023 performance year (Quality 48.3237, Cost 57.6377), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

500 UNIVERSITY DR
HERSHEY, PA 17033

Provider Details

NPI 1396164968
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Female
NPI Issued 04/10/2014

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARIA HENAO, 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 MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
HERSHEY, 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).

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 MARIA HENAO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$318

Largest payer

BioCryst US Sales Co., LLC

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 — 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 MARIA HENAO, M.D.. To verify MARIA HENAO, M.D.'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 · Brand-heavy

MARIA HENAO, M.D. — brand share 62.0%
Specialty average (est.)

62% brand-name claims vs 38% generic, on 595 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.

595
Total Claims
$1.0M
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
696
Total Day Supply
19,088
Brand vs Generic
62% brand / 38% generic
Brand Drug Cost
$989K
Generic Drug Cost
$56K

Patient Demographics

Average Patient Age
61.3 years
Avg HCC Risk Score
1.44
Gender Split
74% female / 26% male
Age Distribution
<65: 42, 65-74: 36, 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 MARIA HENAO, M.D. 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
Dupixent Pen
Dupilumab
71
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
67
Fluticasone Propionate
63
Montelukast Sodium
35
Xolair
Omalizumab
32
Azelastine Hcl
30
Dupixent Syringe
Dupilumab
30
Advair Hfa
Fluticasone Propion/Salmeterol
29
Albuterol Sulfate Hfa
Albuterol Sulfate
28
Symbicort
Budesonide/Formoterol Fumarate
28

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

Student in an Organized Health Care Education/Training Program Overview

How MARIA HENAO, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

MARIA HENAO, M.D.'s 595 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Pennsylvania

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIA HENAO, M.D.'s specialty?
MARIA HENAO, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in HERSHEY, Pennsylvania. Credentials: M.D..
How much does MARIA HENAO, M.D. prescribe under Medicare Part D?
In 2023, MARIA HENAO, M.D. wrote 595 Medicare Part D claims totaling $1.0M in drug costs for 89 beneficiaries.
What is MARIA HENAO, M.D.'s Medicare quality score?
MARIA HENAO, M.D. has a CMS MIPS Final Score of 71.7884/100 (Quality: 48.3237, Cost: 57.6377). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARIA HENAO, M.D. located?
MARIA HENAO, M.D. is located at 500 UNIVERSITY DR, HERSHEY, PA, 17033. Phone: (717) 531-8903.
What is MARIA HENAO, M.D.'s NPI number?
MARIA HENAO, M.D.'s National Provider Identifier (NPI) is 1396164968, issued on 04/10/2014.
Does MARIA HENAO, M.D. prescribe more brand-name or generic drugs?
MARIA HENAO, M.D.'s prescribing is 62% brand-name and 38% generic drugs by claim count, with $989K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does MARIA HENAO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARIA HENAO, M.D.'s most frequently prescribed drugs include Dupixent Pen, Trelegy Ellipta, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIA HENAO, M.D. accept Medicare?
MARIA HENAO, M.D. appears in CMS Medicare data with 595 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA HENAO, M.D.'s credentials?
MARIA HENAO, M.D.'s NPI is 1396164968 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