2026 NPPES data Specialist NPI 1013005578 MD
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MARK HEINZELMANN, MD

Specialist in SAGINAW, Michigan. 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
604
Medicare Part D claims · 589 beneficiaries · Specialist avg: 1K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARK HEINZELMANN, MD filed 604 Medicare Part D claims in 2023 as a Specialist in SAGINAW, Michigan, prescribing 76% generic.

604
Part D claims, 2023
76%
generic prescribing

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.

MARK HEINZELMANN, MD's Medicare Part D volume vs every U.S. prescriber

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

604 Top 31% higher than 69% 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%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 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

What does the federal data show about MARK HEINZELMANN, MD?

Quality data not reported

NPI registry status

Active

Issued 10/10/2006

NPI 1013005578

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

604 59% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Michigan

How Specialist compares to other specialties among Michigan providers

Michigan providers

Specialist share within Michigan

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Michigan

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Specialist) — 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 HEINZELMANN, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 4701 TOWNE CENTRE, SUITE 104, SAGINAW, MI, 48604, with a listed phone of (989) 790-1390. NPI 1013005578 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEINZELMANN 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 604 prescription claims written by this provider, covering 589 Medicare beneficiaries and totaling roughly $21K in drug spend, split 24% brand-name and 76% 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

4701 TOWNE CENTRE, SUITE 104
SAGINAW, MI 48604

Provider Details

NPI 1013005578
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 10/10/2006

License & disciplinary context — Michigan MI-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 ~41K Michigan medical licensees in 2023 — they are NOT specific to MARK HEINZELMANN, MD. To verify MARK HEINZELMANN, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARK HEINZELMANN, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 604 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.

604
Total Claims
$21K
Total Drug Cost
589
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
608
Total Day Supply
1,017
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$5K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
0.95
Gender Split
48% female / 52% male
Age Distribution
<65: 39, 65-74: 355, 75-84: 184, 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
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
553
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
11
Gavilyte-C
"Peg3350/Sod Sulf
N/A

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

Specialist Overview

How MARK HEINZELMANN, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MARK HEINZELMANN, MD's 604 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Michigan

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK HEINZELMANN, MD's specialty?
MARK HEINZELMANN, MD specializes in Specialist and practices in SAGINAW, Michigan. Credentials: MD.
How much does MARK HEINZELMANN, MD prescribe under Medicare Part D?
In 2023, MARK HEINZELMANN, MD wrote 604 Medicare Part D claims totaling $21K in drug costs for 589 beneficiaries.
Where is MARK HEINZELMANN, MD located?
MARK HEINZELMANN, MD is located at 4701 TOWNE CENTRE, SUITE 104, SAGINAW, MI, 48604. Phone: (989) 790-1390.
What is MARK HEINZELMANN, MD's NPI number?
MARK HEINZELMANN, MD's National Provider Identifier (NPI) is 1013005578, issued on 10/10/2006.
Does MARK HEINZELMANN, MD prescribe more brand-name or generic drugs?
MARK HEINZELMANN, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $5K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does MARK HEINZELMANN, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK HEINZELMANN, MD's most frequently prescribed drugs include Peg 3350-Electrolyte, Sutab, Gavilyte-C. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK HEINZELMANN, MD accept Medicare?
MARK HEINZELMANN, MD appears in CMS Medicare data with 604 Part D claims and 589 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK HEINZELMANN, MD's credentials?
MARK HEINZELMANN, MD's NPI is 1013005578 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