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 Mc Lean, 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 1,877 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
135
Medicare Part D claims · 50 beneficiaries · Pediatric Emergency Medicine (Pediatrics) Physician avg: 192
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, 2024
What the federal data shows
Meredith Heltzer, M.D. filed 135 Medicare Part D claims in 2024 as a Pediatric Emergency Medicine (Pediatrics) Physician in Mc Lean, Virginia, prescribing 68% generic.
- 135
- Part D claims, 2024
- 68%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Meredith Heltzer, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1427073634), first enumerated 07/12/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 135 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1427073634 · Pediatric Emergency Medicine (Pediatrics) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1427073634
- ENUM-LEGACY 2006
- TAX-NARROW 1,877
- RX-LIGHT 135
- BOOK-THIN 31 in Virginia
- PHOTO-ENUM Jennifer Kersey, MD · 2006
Meredith Heltzer, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
135 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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
135 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).
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 135 2024 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 2024.
135
Total Claims
$42K
Total Drug Cost
50
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 261.733
- Total Day Supply
- 7,559
- Brand vs Generic
- 32% brand / 68% generic
- Brand Drug Cost
- $34K
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.16
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Meredith Heltzer, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Montelukast Sodium
Montelukast Sodium
39 claims
- Azelastine Hcl
Azelastine Hcl
21 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
16 claims
- Epinephrine 11
Epinephrine
11 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 39 |
| Azelastine Hcl | 21 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 16 |
| Epinephrine | 11 |
* 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.
1,877
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
46
States with Pediatric Emergency Medicine (Pediatrics) Physician
192
Avg Claims per Provider
Meredith Heltzer, M.D.'s 135 claims are below the specialty average of 192.
Nationwide Pediatric Emergency Medicine (Pediatrics) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Heltzer, both outside Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 31 Pediatric Emergency Medicine (Pediatrics) Physician providers enrolled in Virginia, 5 are shown here.
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 Mc Lean, Virginia. Credentials: M.D..
How much does Meredith Heltzer, M.D. prescribe under Medicare Part D? ▼
In 2024, Meredith Heltzer, M.D. wrote 135 Medicare Part D claims totaling $42K in drug costs for 50 beneficiaries.
Where is Meredith Heltzer, M.D. located? ▼
Meredith Heltzer, M.D. is located at 8008 WESTPARK DRIVE, Mc Lean, 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 $34K in brand drug costs.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US? ▼
There are 1,877 Pediatric Emergency Medicine (Pediatrics) Physician providers across 46 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 192 Medicare Part D claims per year.
What drugs does Meredith Heltzer, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Meredith Heltzer, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Azelastine Hcl, 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 135 Part D claims and 50 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.