2026 NPPES data Specialist NPI 1912956293 MD
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MARK HELD, MD

Specialist in NEW BERN, North Carolina. 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
227
Medicare Part D claims · 82 beneficiaries · Specialist avg: 1K
MIPS score
93.8056/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

MARK HELD, MD reported a CMS MIPS final score of 93.8056/100 — above the 83.1 national average — and filed 227 Medicare Part D claims in 2023.

93.8056/100
MIPS score · +11 vs avg
227
Part D claims, 2023

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 HELD, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 MARK HELD, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/06/2006

NPI 1912956293

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

227 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

93.8056/100 10.705600000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers

Specialist share within North Carolina

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

Medicare quality performance — MIPS

MARK HELD, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
93.8056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 93.8056/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Specialist) — 93.8056/100 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).

MARK HELD, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 722 NEWMAN RD, NEW BERN, NC, 28562, with a listed phone of (252) 638-4500. NPI 1912956293 was issued on 05/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELD 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 227 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 46.7%. 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 93.8056/100 for the 2023 performance year (Quality 100, Cost 79.352), compared with the national average of 83.1.

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

722 NEWMAN RD
NEW BERN, NC 28562

Provider Details

NPI 1912956293
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 05/06/2006

CMS Quality Score (MIPS)

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

93.8056
Final Score
Avg: 83.1
100
Quality
79.352
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK HELD, 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.

CAROLINA CRANIOSPINAL NEUROSURGERY, LLC
NEW BERN, NC

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

227
Total Claims
$1K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
229
Total Day Supply
2,245
Generic Drug Cost
$1K
Opioid Claims
106 (46.7% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.23
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

What MARK HELD, 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
Oxycodone Hcl
72
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
48
Diazepam
40
Tramadol Hcl
14
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13

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

Specialist Overview

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

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

MARK HELD, MD's 227 claims are below the specialty average of 1,474.

Nearby Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as HELD.

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

Frequently Asked Questions

What is MARK HELD, MD's specialty?
MARK HELD, MD specializes in Specialist and practices in NEW BERN, North Carolina. Credentials: MD.
How much does MARK HELD, MD prescribe under Medicare Part D?
In 2023, MARK HELD, MD wrote 227 Medicare Part D claims totaling $1K in drug costs for 82 beneficiaries.
What is MARK HELD, MD's Medicare quality score?
MARK HELD, MD has a CMS MIPS Final Score of 93.8056/100 (Quality: 100, Cost: 79.352). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK HELD, MD located?
MARK HELD, MD is located at 722 NEWMAN RD, NEW BERN, NC, 28562. Phone: (252) 638-4500.
What is MARK HELD, MD's NPI number?
MARK HELD, MD's National Provider Identifier (NPI) is 1912956293, issued on 05/06/2006.
Does MARK HELD, MD prescribe opioids?
Yes, MARK HELD, MD had 106 opioid claims in 2023 with an opioid prescribing rate of 46.7%.
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 HELD, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK HELD, MD's most frequently prescribed drugs include Oxycodone Hcl, Sulfamethoxazole-Trimethoprim, Diazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK HELD, MD accept Medicare?
MARK HELD, MD appears in CMS Medicare data with 227 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK HELD, MD's credentials?
MARK HELD, MD's NPI is 1912956293 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.
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