NPI registry status
Active
2026 NPPES data Pediatric Emergency Medicine (Pediatrics) Physician NPI 1427073634 M.D.
Verify on CMS → Meredith Heltzer, M.D.
Pediatric Emergency Medicine (Pediatrics) Physician in McLean, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,808 in Pediatric Emergency Medicine (Pediatrics) 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
114
Medicare Part D claims · 49 beneficiaries · Pediatric Emergency Medicine (Pediatrics) Physician avg: 162
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Meredith Heltzer, M.D. filed 114 Medicare Part D claims in 2023 as a Pediatric Emergency Medicine (Pediatrics) Physician in McLean, Virginia, prescribing 68% generic.
- 114
- Part D claims, 2023
- 68%
- generic prescribing
- 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.
Meredith Heltzer, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
114 35th percentile higher than 35% of 1,370,886 prescribers
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
✓
Board certification likely (heuristic, not verified)
Meredith Heltzer, M.D. 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).
What does the federal data show about Meredith Heltzer, M.D.?
Quality data not reportedPrimary specialty
Pediatric Emergency Medicine (Pediatrics) Physician
Medicare Part D claims
114 30% vs specialty avg
Specialty distribution in Virginia
How Pediatric Emergency Medicine (Pediatrics) Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Emergency Medicine (Pediatrics) Physician. Verify directly:
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).
Meredith Heltzer, M.D. appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Pediatrics) Physician provider holding M.D. credentials at 8008 WESTPARK DRIVE, McLean, VA, 22102, with a listed phone of (703) 287-6559. NPI 1427073634 was issued on 07/12/2006.
Medicare Part D records for calendar year 2023 show 114 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $43K in drug spend, split 32% brand-name and 68% generic by claim count.
Pediatric Emergency Medicine (Pediatrics) Physician is a narrow specialty nationwide, with 1,808 enrolled providers across 46 states and an average of 162 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 | 1427073634 |
|---|---|
| Specialty | Pediatric Emergency Medicine (Pediatrics) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 07/12/2006 |
Hospital and facility affiliations
Facilities where Meredith Heltzer, M.D. 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.
Kaiser Foundation Health Plan OF The Mid Atlantic States, Inc
Largo, MD
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 · Above average
Meredith Heltzer, M.D. - brand share 32.0%
Pediatric Emergency Medicine (Pediatrics) Physician average
32% brand-name claims vs 68% generic, on 114 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.
114
Total Claims
$43K
Total Drug Cost
49
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 236
- Total Day Supply
- 6,870
- Brand vs Generic
- 32% brand / 68% generic
- Brand Drug Cost
- $41K
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.24
- Gender Split
- 69% female / 31% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Meredith Heltzer, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azelastine Hcl
Azelastine Hcl
29 claims
- Montelukast Sodium
Montelukast Sodium
29 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
13 claims
- Epinephrine
Epinephrine
13 claims
| Drug | Claims |
|---|---|
| Azelastine Hcl | 29 |
| Montelukast Sodium | 29 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 13 |
| Epinephrine | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pediatric Emergency Medicine (Pediatrics) Physician in VA →
All providers in Virginia →
Compare specialties →
Pediatric Emergency Medicine (Pediatrics) Physician Overview
How Meredith Heltzer, M.D. fits within the Pediatric Emergency Medicine (Pediatrics) Physician landscape nationally.
1,808
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
46
States with Pediatric Emergency Medicine (Pediatrics) Physician
162
Avg Claims per Provider
Meredith Heltzer, M.D.'s 114 claims are below the specialty average of 162.
Nearby Pediatric Emergency Medicine (Pediatrics) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Heltzer.
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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Emergency Medicine (Pediatrics) 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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Frequently Asked Questions
What is Meredith Heltzer, M.D.'s specialty? ▼
Meredith Heltzer, M.D. specializes in Pediatric Emergency Medicine (Pediatrics) Physician and practices in McLean, Virginia. Credentials: M.D..
How much does Meredith Heltzer, M.D. prescribe under Medicare Part D? ▼
In 2023, Meredith Heltzer, M.D. wrote 114 Medicare Part D claims totaling $43K in drug costs for 49 beneficiaries.
Where is Meredith Heltzer, M.D. located? ▼
Meredith Heltzer, M.D. is located at 8008 WESTPARK DRIVE, McLean, VA, 22102. Phone: (703) 287-6559.
What is Meredith Heltzer, M.D.'s NPI number? ▼
Meredith Heltzer, M.D.'s National Provider Identifier (NPI) is 1427073634, issued on 07/12/2006.
Does Meredith Heltzer, M.D. prescribe more brand-name or generic drugs? ▼
Meredith Heltzer, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $41K in brand drug costs.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US? ▼
There are 1,808 Pediatric Emergency Medicine (Pediatrics) Physician providers across 46 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 162 Medicare Part D claims per year.
What drugs does Meredith Heltzer, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Meredith Heltzer, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Montelukast Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Meredith Heltzer, M.D. accept Medicare? ▼
Meredith Heltzer, M.D. appears in CMS Medicare data with 114 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Meredith Heltzer, M.D.'s credentials? ▼
Meredith Heltzer, M.D.'s NPI is 1427073634 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.
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.