NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1396831830 M.D.
Verify on CMS → Mark Hellreich, M.D.
Pulmonary Disease Physician in Asheville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 561 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mark Hellreich, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 4,640 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 5K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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 Hellreich, 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
100 Top 7% higher than 93% of 477,587 scored providers
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
Where Mark Hellreich, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Hellreich, M.D. writes more Part D claims than 93% of them and scores higher on MIPS quality than 93% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Mark Hellreich, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mark Hellreich, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Mark Hellreich, M.D.?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
4,640 218% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in North Carolina
How Pulmonary Disease Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Mark Hellreich, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 100/100 vs national avg 83.1
How MIPS and board certification work
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 Hellreich, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 30 CHOCTAW ST, Asheville, NC, 28801, with a listed phone of (828) 255-7733. NPI 1396831830 was issued on 10/04/2006.
Medicare Part D records for calendar year 2023 show 4,640 prescription claims written by this provider, covering 561 Medicare beneficiaries and totaling roughly $1.4 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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
Provider Details
| NPI | 1396831830 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/04/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
4,640
Total Claims
$1.4M
Total Drug Cost
561
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,939
- Total Day Supply
- 200,638
- Generic Drug Cost
- $68K
- Antibiotic Claims
- 129
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 1.67
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 69, 65-74: 229, 75-84: 195, 85+: 68
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mark Hellreich, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
959 claims
- Trelegy Ellipta
Trelegy Ellipta
525 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
487 claims
- Azelastine Hcl
Azelastine Hcl
423 claims
- Famotidine 228
Famotidine
228 claims
- Spiriva Respimat 155
Spiriva Respimat
155 claims
- Symbicort 142
Symbicort
142 claims
- Ventolin Hfa 140
Ventolin Hfa
140 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 959 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 525 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 487 |
| Azelastine Hcl | 423 |
| Famotidine | 228 |
| Spiriva Respimat Tiotropium Bromide | 155 |
| Symbicort Budesonide/Formoterol Fumarate | 142 |
| Ventolin Hfa Albuterol Sulfate | 140 |
| Fluticasone Propionate | 128 |
| Incruse Ellipta Umeclidinium Bromide | 128 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Mark Hellreich, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Mark Hellreich, M.D.'s 4,640 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Hellreich.
Dr. Mariam Abboud
MD
Raleigh, NC
Dr. Chandar Abboy
M.D.
Fayetteville, NC
Dr. Norman Adair
MD
Winston Salem, NC
Dr. Farhan Ahmed
M.D.
Winston Salem, NC
Dr. Rohit Ahuja
MD
Raleigh, NC
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Mark Hellreich, M.D.'s specialty? ▼
Mark Hellreich, M.D. specializes in Pulmonary Disease Physician and practices in Asheville, North Carolina. Credentials: M.D..
How much does Mark Hellreich, M.D. prescribe under Medicare Part D? ▼
In 2023, Mark Hellreich, M.D. wrote 4,640 Medicare Part D claims totaling $1.4M in drug costs for 561 beneficiaries.
What is Mark Hellreich, M.D.'s Medicare quality score? ▼
Mark Hellreich, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Hellreich, M.D. located? ▼
Mark Hellreich, M.D. is located at 30 CHOCTAW ST, Asheville, NC, 28801. Phone: (828) 255-7733.
What is Mark Hellreich, M.D.'s NPI number? ▼
Mark Hellreich, M.D.'s National Provider Identifier (NPI) is 1396831830, issued on 10/04/2006.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Mark Hellreich, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mark Hellreich, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Trelegy Ellipta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Hellreich, M.D. accept Medicare? ▼
Mark Hellreich, M.D. appears in CMS Medicare data with 4,640 Part D claims and 561 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Hellreich, M.D.'s credentials? ▼
Mark Hellreich, M.D.'s NPI is 1396831830 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.