2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1891791067 DO
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MARK HEBERLEIN, DO

Neuromusculoskeletal Medicine & OMM Physician in CASHTON, Wisconsin. 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
2K
Medicare Part D claims · 176 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: MARK HEBERLEIN, DO is a Neuromusculoskeletal Medicine & OMM Physician ([object Object]) practicing in CASHTON, Wisconsin with a Medicare Part D prescribing footprint of 2K claims across 176 beneficiaries — 17% brand-name prescribing .

What stands out: MARK HEBERLEIN, DO filed 2,493 Medicare Part D claims in 2023 across CASHTON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK HEBERLEIN, DO 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).

MARK HEBERLEIN, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 06/22/2005

NPI 1891791067

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician

Niche

1,235 US NPIs in this specialty

Medicare Part D claims

2,493 125% vs specialty avg

2023 prescription claims

Specialty avg: 1,107

Specialty distribution in Wisconsin

How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Neuromusculoskeletal Medicine & OMM Physician share within Wisconsin

1. Neuromusculoskeletal Medicine & OMM Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromusculoskeletal Medicine & OMM Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Neuromusculoskeletal Medicine & OMM Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neuromusculoskeletal Medicine & OMM Physician ABMS/AOA estimate

Est. board-certified rate (Neuromusculoskeletal Medicine & OMM Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neuromusculoskeletal Medicine & OMM 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).

MARK HEBERLEIN, DO is a Neuromusculoskeletal Medicine & OMM Physician provider practicing in CASHTON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1891791067. 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.

MARK HEBERLEIN, DO appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding DO credentials at 238 FRONT ST, CASHTON, WI, 54619, with a listed phone of (608) 654-5100. NPI 1891791067 was issued on 06/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEBERLEIN 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 2,493 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $286K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 7.3%. 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.

Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,235 enrolled providers across 51 states and an average of 1,107 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

238 FRONT ST
CASHTON, WI 54619

Provider Details

NPI 1891791067
Specialty Neuromusculoskeletal Medicine & OMM Physician
Credentials DO
Gender Male
NPI Issued 06/22/2005

Hospital and facility affiliations

Facilities where MARK HEBERLEIN, DO 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.

SCENIC BLUFFS HEALTH CENTER INC
NORWALK, WI

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

MARK HEBERLEIN, DO — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 2,493 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.

2,493
Total Claims
$286K
Total Drug Cost
176
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,220
Total Day Supply
118,359
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$241K
Generic Drug Cost
$45K
Opioid Claims
182 (7.3% rate)
Antibiotic Claims
109

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.04
Gender Split
51% female / 49% male
Age Distribution
<65: 45, 65-74: 78, 75-84: 42, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lisinopril
85
Rosuvastatin Calcium
73
Gabapentin
62
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
56
Omeprazole
53
Hydrochlorothiazide
52
Amlodipine Besylate
51
Atorvastatin Calcium
51
Prednisone
49
Trulicity
Dulaglutide
45

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

Neuromusculoskeletal Medicine & OMM Physician Overview

How MARK HEBERLEIN, DO fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.

1,235
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider

MARK HEBERLEIN, DO's 2,493 claims are above the specialty average of 1,107.

Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in Wisconsin

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

Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK HEBERLEIN, DO's specialty?
MARK HEBERLEIN, DO specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in CASHTON, Wisconsin. Credentials: DO.
How much does MARK HEBERLEIN, DO prescribe under Medicare Part D?
In 2023, MARK HEBERLEIN, DO wrote 2,493 Medicare Part D claims totaling $286K in drug costs for 176 beneficiaries.
Where is MARK HEBERLEIN, DO located?
MARK HEBERLEIN, DO is located at 238 FRONT ST, CASHTON, WI, 54619. Phone: (608) 654-5100.
What is MARK HEBERLEIN, DO's NPI number?
MARK HEBERLEIN, DO's National Provider Identifier (NPI) is 1891791067, issued on 06/22/2005.
Does MARK HEBERLEIN, DO prescribe more brand-name or generic drugs?
MARK HEBERLEIN, DO's prescribing is 17% brand-name and 83% generic drugs by claim count, with $241K in brand drug costs.
Does MARK HEBERLEIN, DO prescribe opioids?
Yes, MARK HEBERLEIN, DO had 182 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US?
There are 1,235 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does MARK HEBERLEIN, DO prescribe most often?
Based on 2023 Medicare Part D data, MARK HEBERLEIN, DO's most frequently prescribed drugs include Lisinopril, Rosuvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK HEBERLEIN, DO accept Medicare?
MARK HEBERLEIN, DO appears in CMS Medicare data with 2,493 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK HEBERLEIN, DO's credentials?
MARK HEBERLEIN, DO's NPI is 1891791067 with credentials DO. 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