NPI registry status
Active
2026 NPPES data Surgical Oncology Physician NPI 1922692565 PA-C
Verify on CMS → Rachael Heeren, PA-C
Surgical Oncology Physician in Greeley, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,410 in Surgical Oncology 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
88
Medicare Part D claims · 45 beneficiaries · Surgical Oncology Physician avg: 97
MIPS score
89.3/100
▲ 6 pts above national avg 83.1 · Exceptional
Industry payments
$423.81
4 payments · CMS Open Payments (Sunshine Act)
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
Rachael Heeren, PA-C reported a CMS MIPS final score of 89.3/100 - above the 83.1 national average - and filed 88 Medicare Part D claims in 2023.
- 89.3/100
- MIPS score · +6 vs avg
- 88
- Part D claims, 2023
- 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.
Rachael Heeren, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
89 Top 42% higher than 58% of 477,587 scored providers
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
Where Rachael Heeren, PA-C sits
This provider among surgical oncology physician peers
Across the 416 surgical oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rachael Heeren, PA-C writes more Part D claims than 65% of them and scores higher on MIPS quality than 56% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgical oncology physician peer from a representative sample of 60; the gold marker is Rachael Heeren, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rachael Heeren, PA-C practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Rachael Heeren, PA-C?
High performer (top quartile)Primary specialty
Surgical Oncology Physician
Medicare Part D claims
88 9% vs specialty avg
MIPS final score
89.3/100 6.2 pts vs avg
Specialty distribution in Colorado
How Surgical Oncology Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Rachael Heeren, PA-C's 2023 MIPS final score plotted against the Surgical Oncology Physician national average
- MIPS Final Score
- 89.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgical Oncology Physician) - 89.3/100 vs national avg 83.1
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).
Rachael Heeren, PA-C appears in the CMS NPPES registry as a Surgical Oncology Physician provider holding PA-C credentials at 1801 16TH ST, Greeley, CO, 80631, with a listed phone of (970) 810-3894. NPI 1922692565 was issued on 02/24/2021.
Medicare Part D records for calendar year 2023 show 88 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $596 in drug spend, with an opioid prescribing rate of 37.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.3/100 for the 2023 performance year, compared with the national average of 83.1.
Surgical Oncology Physician is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 97 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 | 1922692565 |
|---|---|
| Specialty | Surgical Oncology Physician |
| Credentials | PA-C |
| Gender | Female |
| NPI Issued | 02/24/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.3322
Final Score
Avg: 83.1
61.8954
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Rachael Heeren, PA-C 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.
Banner Hospital Based Physicians Colorado LLC
Greeley, CO
Catholic Health Initiatives Colorado
Lakewood, CO
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 Rachael Heeren, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$424
Largest payer
Myriad Genetic Laboratories, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
88
Total Claims
$596
Total Drug Cost
45
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 88
- Total Day Supply
- 626
- Brand Drug Cost
- $0
- Generic Drug Cost
- $596
- Opioid Claims
- 33 (37.5% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 68.9 years
- Avg HCC Risk Score
- 1.49
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Tramadol Hcl | 23 |
| Ondansetron Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Oncology Physician Overview
How Rachael Heeren, PA-C fits within the Surgical Oncology Physician landscape nationally.
1,410
Surgical Oncology Physician Providers in US
50
States with Surgical Oncology Physician
97
Avg Claims per Provider
Rachael Heeren, PA-C's 88 claims are below the specialty average of 97.
Nearby Surgical Oncology Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Heeren.
Dr. Blake Babcock
M.D.
Parker, CO
Dr. Carlton Barnett
MD
Denver, CO
Dr. Marco Del Chiaro
MD
Aurora, CO
Dr. Ana Luiza Gleisner
MD
Aurora, CO
Dr. Kayla Griffith
M.D.
Denver, CO
Compare Surgical Oncology Physician nationally: see state-by-state distribution →
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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Oncology 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 Rachael Heeren, PA-C's specialty? ▼
Rachael Heeren, PA-C specializes in Surgical Oncology Physician and practices in Greeley, Colorado. Credentials: PA-C.
How much does Rachael Heeren, PA-C prescribe under Medicare Part D? ▼
In 2023, Rachael Heeren, PA-C wrote 88 Medicare Part D claims totaling $596 in drug costs for 45 beneficiaries.
What is Rachael Heeren, PA-C's Medicare quality score? ▼
Rachael Heeren, PA-C has a CMS MIPS Final Score of 89.3/100, Cost: 61.9. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachael Heeren, PA-C located? ▼
Rachael Heeren, PA-C is located at 1801 16TH ST, Greeley, CO, 80631. Phone: (970) 810-3894.
What is Rachael Heeren, PA-C's NPI number? ▼
Rachael Heeren, PA-C's National Provider Identifier (NPI) is 1922692565, issued on 02/24/2021.
Does Rachael Heeren, PA-C prescribe opioids? ▼
Yes, Rachael Heeren, PA-C had 33 opioid claims in 2023 with an opioid prescribing rate of 37.5%.
How many Surgical Oncology Physician providers are there in the US? ▼
There are 1,410 Surgical Oncology Physician providers across 50 states in the US. The average Surgical Oncology Physician provider writes 97 Medicare Part D claims per year.
What drugs does Rachael Heeren, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Rachael Heeren, PA-C's most frequently prescribed drugs include Tramadol Hcl, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachael Heeren, PA-C accept Medicare? ▼
Rachael Heeren, PA-C appears in CMS Medicare data with 88 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachael Heeren, PA-C's credentials? ▼
Rachael Heeren, PA-C's NPI is 1922692565 with credentials PA-C. 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.