2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1053497685 DO
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MICHAEL HENEHAN, DO

Sports Medicine (Family Medicine) Physician in SAN JOSE, California. 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
798
Medicare Part D claims · 131 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K

What the federal data shows

MICHAEL HENEHAN, DO filed 798 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in SAN JOSE, California.

798
Part D claims, 2023

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 HENEHAN, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

798 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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-eligible specialty (heuristic — not verified)

MICHAEL HENEHAN, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MICHAEL HENEHAN, DO?

Quality data not reported

NPI registry status

Active

Issued 10/27/2006

NPI 1053497685

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

798 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

Specialty distribution in California

How Sports Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Sports Medicine (Family Medicine) Physician share within California

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Family Medicine) Physician) — ABMS / AOA estimate

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 HENEHAN, DO appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DO credentials at 455 OCONNOR DR, SAN JOSE, CA, 95128, with a listed phone of (408) 995-5453. NPI 1053497685 was issued on 10/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENEHAN 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 798 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $68K in drug spend. 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.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

455 OCONNOR DR
SAN JOSE, CA 95128

Provider Details

NPI 1053497685
Specialty Sports Medicine (Family Medicine) Physician
Credentials DO
Gender Male
NPI Issued 10/27/2006

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to MICHAEL HENEHAN, DO. To verify MICHAEL HENEHAN, DO's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

798
Total Claims
$68K
Total Drug Cost
131
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,822
Total Day Supply
53,399
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.08
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL HENEHAN, DO 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
Atorvastatin Calcium
99
Hydrochlorothiazide
46
Amlodipine Besylate
33
Lisinopril
33
Levothyroxine Sodium
32
Metformin Hcl
32
Lorazepam
24
Duloxetine Hcl
19
Fluticasone Propionate
18
Tamsulosin Hcl
18

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

Sports Medicine (Family Medicine) Physician Overview

How MICHAEL HENEHAN, DO fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

MICHAEL HENEHAN, DO's 798 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in California

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

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL HENEHAN, DO's specialty?
MICHAEL HENEHAN, DO specializes in Sports Medicine (Family Medicine) Physician and practices in SAN JOSE, California. Credentials: DO.
How much does MICHAEL HENEHAN, DO prescribe under Medicare Part D?
In 2023, MICHAEL HENEHAN, DO wrote 798 Medicare Part D claims totaling $68K in drug costs for 131 beneficiaries.
Where is MICHAEL HENEHAN, DO located?
MICHAEL HENEHAN, DO is located at 455 OCONNOR DR, SAN JOSE, CA, 95128. Phone: (408) 995-5453.
What is MICHAEL HENEHAN, DO's NPI number?
MICHAEL HENEHAN, DO's National Provider Identifier (NPI) is 1053497685, issued on 10/27/2006.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does MICHAEL HENEHAN, DO prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL HENEHAN, DO's most frequently prescribed drugs include Atorvastatin Calcium, Hydrochlorothiazide, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL HENEHAN, DO accept Medicare?
MICHAEL HENEHAN, DO appears in CMS Medicare data with 798 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL HENEHAN, DO's credentials?
MICHAEL HENEHAN, DO's NPI is 1053497685 with credentials DO. 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.
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