2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1114214970 MD
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MICHAEL HELLMAN, MD

Adult Reconstructive Orthopaedic Surgery Physician in LEES SUMMIT, Missouri. 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
1K
Medicare Part D claims · 483 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.3625/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$90.2K
95 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL HELLMAN, MD reported a CMS MIPS final score of 77.3625/100 — below the 83.1 national average — and filed 1,380 Medicare Part D claims in 2023.

77.3625/100
MIPS score · -6 vs avg
1K
Part D claims, 2023
84%
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.

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

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

77 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

MICHAEL HELLMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 MICHAEL HELLMAN, MD?

Below national average

NPI registry status

Active

Issued 06/30/2011

NPI 1114214970

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

1,380 180% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

77.3625/100 5.737499999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Missouri providers

Missouri providers

Adult Reconstructive Orthopaedic Surgery Physician share within Missouri

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Missouri

Medicare quality performance — MIPS

MICHAEL HELLMAN, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
77.3625/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 77.3625/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 77.3625/100 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).

MICHAEL HELLMAN, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO, 64086, with a listed phone of (816) 246-4302. NPI 1114214970 was issued on 06/30/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HELLMAN 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 1,380 prescription claims written by this provider, covering 483 Medicare beneficiaries and totaling roughly $12K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 56.6%. 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 77.3625/100 for the 2023 performance year (Quality 73.5076, Cost 51.0342), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

120 NE SAINT LUKES BLVD STE 200
LEES SUMMIT, MO 64086

Provider Details

NPI 1114214970
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/30/2011

CMS Quality Score (MIPS)

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

77.3625
Final Score
Avg: 83.1
73.5076
Quality
51.0342
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL HELLMAN, 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.

ROCKHILL ORTHOPAEDIC SPECIALISTS INC
LEES SUMMIT, MO

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 MICHAEL HELLMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$90.2K

Largest payer

MEDACTA 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 · Typical

MICHAEL HELLMAN, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,380 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.

1,380
Total Claims
$12K
Total Drug Cost
483
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,475
Total Day Supply
16,175
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$3K
Generic Drug Cost
$9K
Opioid Claims
781 (56.6% rate)
Antibiotic Claims
292

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.18
Gender Split
65% female / 35% male
Age Distribution
<65: 42, 65-74: 278, 75-84: 141, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL HELLMAN, 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
Hydromorphone Hcl
447
Oxycodone Hcl
269
Amoxicillin
200
Meloxicam
103
Tramadol Hcl
52
Clindamycin Hcl
46
Famotidine
34
Methylprednisolone
33
Diclofenac Sodium
28
Cefadroxil
27

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How MICHAEL HELLMAN, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

MICHAEL HELLMAN, MD's 1,380 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Missouri

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL HELLMAN, MD's specialty?
MICHAEL HELLMAN, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in LEES SUMMIT, Missouri. Credentials: MD.
How much does MICHAEL HELLMAN, MD prescribe under Medicare Part D?
In 2023, MICHAEL HELLMAN, MD wrote 1,380 Medicare Part D claims totaling $12K in drug costs for 483 beneficiaries.
What is MICHAEL HELLMAN, MD's Medicare quality score?
MICHAEL HELLMAN, MD has a CMS MIPS Final Score of 77.3625/100 (Quality: 73.5076, Cost: 51.0342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL HELLMAN, MD located?
MICHAEL HELLMAN, MD is located at 120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO, 64086. Phone: (816) 246-4302.
What is MICHAEL HELLMAN, MD's NPI number?
MICHAEL HELLMAN, MD's National Provider Identifier (NPI) is 1114214970, issued on 06/30/2011.
Does MICHAEL HELLMAN, MD prescribe more brand-name or generic drugs?
MICHAEL HELLMAN, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $3K in brand drug costs.
Does MICHAEL HELLMAN, MD prescribe opioids?
Yes, MICHAEL HELLMAN, MD had 781 opioid claims in 2023 with an opioid prescribing rate of 56.6%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does MICHAEL HELLMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL HELLMAN, MD's most frequently prescribed drugs include Hydromorphone Hcl, Oxycodone Hcl, Amoxicillin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL HELLMAN, MD accept Medicare?
MICHAEL HELLMAN, MD appears in CMS Medicare data with 1,380 Part D claims and 483 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL HELLMAN, MD's credentials?
MICHAEL HELLMAN, MD's NPI is 1114214970 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