2026 NPPES data Psychiatric/Mental Health Nurse Practitioner NPI 1003430729 PMHNP
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MATTHEW HETTENBACH, PMHNP

Psychiatric/Mental Health Nurse Practitioner in RACINE, 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
3K
Medicare Part D claims · 138 beneficiaries · Psychiatric/Mental Health Nurse Practitioner avg: 927
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.3961/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$652.08
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATTHEW HETTENBACH, PMHNP reported a CMS MIPS final score of 82.3961/100 — below the 83.1 national average — and filed 2,745 Medicare Part D claims in 2023.

82.3961/100
MIPS score · -1 vs avg
3K
Part D claims, 2023
92%
generic prescribing
$652.08
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.

MATTHEW HETTENBACH, PMHNP's MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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%). This entry sits in this band. 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 MATTHEW HETTENBACH, PMHNP?

Near national average

NPI registry status

Active

Issued 05/29/2020

NPI 1003430729

Primary specialty

Psychiatric/Mental Health Nurse Practitioner

Mid-sized

39,953 US NPIs in this specialty

Medicare Part D claims

2,745 196% vs specialty avg

2023 prescription claims

Specialty avg: 927

MIPS final score

82.3961/100 0.7038999999999902% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Psychiatric/Mental Health Nurse Practitioner compares to other specialties among Wisconsin providers

Wisconsin providers

Psychiatric/Mental Health Nurse Practitioner share within Wisconsin

1. Psychiatric/Mental Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatric/Mental Health Nurse Practitioner share within Wisconsin

Medicare quality performance — MIPS

MATTHEW HETTENBACH, PMHNP's 2023 MIPS final score plotted against the Psychiatric/Mental Health Nurse Practitioner national average

Near national average
MIPS Final Score
82.3961/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 82.3961/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Psychiatric/Mental Health Nurse Practitioner) — 82.3961/100 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).

MATTHEW HETTENBACH, PMHNP appears in the CMS NPPES registry as a Psychiatric/Mental Health Nurse Practitioner provider holding PMHNP credentials at 1244 WISCONSIN AVE, RACINE, WI, 53403, with a listed phone of (262) 687-2956. NPI 1003430729 was issued on 05/29/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HETTENBACH 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 2,745 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $489K in drug spend, split 8% brand-name and 92% 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 82.3961/100 for the 2023 performance year (Quality 77.8816, Cost 74.3833), compared with the national average of 83.1.

Psychiatric/Mental Health Nurse Practitioner is a mid-sized specialty nationwide, with 39,953 enrolled providers across 54 states and an average of 927 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

1244 WISCONSIN AVE
RACINE, WI 53403

Provider Details

NPI 1003430729
Specialty Psychiatric/Mental Health Nurse Practitioner
Credentials PMHNP
Gender Male
NPI Issued 05/29/2020

CMS Quality Score (MIPS)

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

82.3961
Final Score
Avg: 83.1
77.8816
Quality
74.3833
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW HETTENBACH, PMHNP 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.

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
RACINE, 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).

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 MATTHEW HETTENBACH, PMHNP. Source: openpaymentsdata.cms.gov.

Total received

$652

Largest payer

Teva Pharmaceuticals USA, Inc.

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.

Brand vs generic prescribing mix · Generic-heavy

MATTHEW HETTENBACH, PMHNP — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 2,745 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.

2,745
Total Claims
$489K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,307
Total Day Supply
92,974
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$405K
Generic Drug Cost
$83K

Patient Demographics

Average Patient Age
59.1 years
Avg HCC Risk Score
1.65
Gender Split
64% female / 36% male
Age Distribution
<65: 70, 65-74: 54, 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 MATTHEW HETTENBACH, PMHNP 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
Trazodone Hcl
240
Lamotrigine
158
Hydroxyzine Hcl
144
Quetiapine Fumarate
143
Clonazepam
127
Olanzapine
111
Bupropion Xl
Bupropion Hcl
101
Gabapentin
83
Sertraline Hcl
80
Clonidine Hcl
78

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

Psychiatric/Mental Health Nurse Practitioner Overview

How MATTHEW HETTENBACH, PMHNP fits within the Psychiatric/Mental Health Nurse Practitioner landscape nationally.

39,953
Psychiatric/Mental Health Nurse Practitioner Providers in US
54
States with Psychiatric/Mental Health Nurse Practitioner
927
Avg Claims per Provider

MATTHEW HETTENBACH, PMHNP's 2,745 claims are above the specialty average of 927.

Nearby Psychiatric/Mental Health Nurse Practitioner Providers in Wisconsin

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

Compare Psychiatric/Mental Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW HETTENBACH, PMHNP's specialty?
MATTHEW HETTENBACH, PMHNP specializes in Psychiatric/Mental Health Nurse Practitioner and practices in RACINE, Wisconsin. Credentials: PMHNP.
How much does MATTHEW HETTENBACH, PMHNP prescribe under Medicare Part D?
In 2023, MATTHEW HETTENBACH, PMHNP wrote 2,745 Medicare Part D claims totaling $489K in drug costs for 138 beneficiaries.
What is MATTHEW HETTENBACH, PMHNP's Medicare quality score?
MATTHEW HETTENBACH, PMHNP has a CMS MIPS Final Score of 82.3961/100 (Quality: 77.8816, Cost: 74.3833). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW HETTENBACH, PMHNP located?
MATTHEW HETTENBACH, PMHNP is located at 1244 WISCONSIN AVE, RACINE, WI, 53403. Phone: (262) 687-2956.
What is MATTHEW HETTENBACH, PMHNP's NPI number?
MATTHEW HETTENBACH, PMHNP's National Provider Identifier (NPI) is 1003430729, issued on 05/29/2020.
Does MATTHEW HETTENBACH, PMHNP prescribe more brand-name or generic drugs?
MATTHEW HETTENBACH, PMHNP's prescribing is 8% brand-name and 92% generic drugs by claim count, with $405K in brand drug costs.
How many Psychiatric/Mental Health Nurse Practitioner providers are there in the US?
There are 39,953 Psychiatric/Mental Health Nurse Practitioner providers across 54 states in the US. The average Psychiatric/Mental Health Nurse Practitioner provider writes 927 Medicare Part D claims per year.
What drugs does MATTHEW HETTENBACH, PMHNP prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW HETTENBACH, PMHNP's most frequently prescribed drugs include Trazodone Hcl, Lamotrigine, Hydroxyzine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW HETTENBACH, PMHNP accept Medicare?
MATTHEW HETTENBACH, PMHNP appears in CMS Medicare data with 2,745 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW HETTENBACH, PMHNP's credentials?
MATTHEW HETTENBACH, PMHNP's NPI is 1003430729 with credentials PMHNP. 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