2026 NPPES data Family Medicine Physician NPI 1689620999 MD
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RANDY HEISSER, MD

Family Medicine Physician in EAST RIDGE, Tennessee. 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
11K
Medicare Part D claims · 596 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.4834/100
▼ 17 pts below national avg 83.1 · [object Object]
Industry payments
$928.08
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RANDY HEISSER, MD reported a CMS MIPS final score of 66.4834/100 — below the 83.1 national average — and filed 10,734 Medicare Part D claims in 2023.

66.4834/100
MIPS score · -17 vs avg
11K
Part D claims, 2023
82%
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.

RANDY HEISSER, MD's MIPS score vs every scored U.S. clinician

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

66 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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)

RANDY HEISSER, 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 RANDY HEISSER, MD?

Below national average

NPI registry status

Active

Issued 05/26/2006

NPI 1689620999

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

10,734 214% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

66.4834/100 16.61659999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Family Medicine Physician share within Tennessee

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Tennessee

Medicare quality performance — MIPS

RANDY HEISSER, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
66.4834/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 66.4834/100 vs national avg 83.1

0%100%National avg83%66.5%
MIPS final score (Family Medicine Physician) — 66.4834/100 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).

RANDY HEISSER, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1508 TOMBRAS AVE, EAST RIDGE, TN, 37412, with a listed phone of (423) 867-4969. NPI 1689620999 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEISSER 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 10,734 prescription claims written by this provider, covering 596 Medicare beneficiaries and totaling roughly $778K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 0.4%. 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 66.4834/100 for the 2023 performance year (Quality 51.4001, Cost 39.3015), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1508 TOMBRAS AVE
EAST RIDGE, TN 37412

Provider Details

NPI 1689620999
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

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

66.4834
Final Score
Avg: 83.1
51.4001
Quality
39.3015
Cost
61
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RANDY HEISSER, 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.

YOUR GOOD HEALTH, LLC
FT OGLETHORPE, GA

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 RANDY HEISSER, MD. Source: openpaymentsdata.cms.gov.

Total received

$928

Largest payer

AstraZeneca Pharmaceuticals LP

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

RANDY HEISSER, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 10,734 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.

10,734
Total Claims
$778K
Total Drug Cost
596
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,146
Total Day Supply
267,617
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$505K
Generic Drug Cost
$271K
Opioid Claims
40 (0.4% rate)
Antibiotic Claims
383

Patient Demographics

Average Patient Age
78.4 years
Avg HCC Risk Score
2.29
Gender Split
66% female / 34% male
Age Distribution
<65: 57, 65-74: 149, 75-84: 199, 85+: 191

Top Prescribed Drugs (Medicare Part D)

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

What RANDY HEISSER, 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
Levothyroxine Sodium
502
Eliquis
Apixaban
487
Atorvastatin Calcium
355
Amlodipine Besylate
303
Quetiapine Fumarate
271
Furosemide
260
Potassium Chloride
254
Carvedilol
248
Pantoprazole Sodium
244
Omeprazole
238

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

Family Medicine Physician Overview

How RANDY HEISSER, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

RANDY HEISSER, MD's 10,734 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is RANDY HEISSER, MD's specialty?
RANDY HEISSER, MD specializes in Family Medicine Physician and practices in EAST RIDGE, Tennessee. Credentials: MD.
How much does RANDY HEISSER, MD prescribe under Medicare Part D?
In 2023, RANDY HEISSER, MD wrote 10,734 Medicare Part D claims totaling $778K in drug costs for 596 beneficiaries.
What is RANDY HEISSER, MD's Medicare quality score?
RANDY HEISSER, MD has a CMS MIPS Final Score of 66.4834/100 (Quality: 51.4001, Cost: 39.3015). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDY HEISSER, MD located?
RANDY HEISSER, MD is located at 1508 TOMBRAS AVE, EAST RIDGE, TN, 37412. Phone: (423) 867-4969.
What is RANDY HEISSER, MD's NPI number?
RANDY HEISSER, MD's National Provider Identifier (NPI) is 1689620999, issued on 05/26/2006.
Does RANDY HEISSER, MD prescribe more brand-name or generic drugs?
RANDY HEISSER, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $505K in brand drug costs.
Does RANDY HEISSER, MD prescribe opioids?
Yes, RANDY HEISSER, MD had 40 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does RANDY HEISSER, MD prescribe most often?
Based on 2023 Medicare Part D data, RANDY HEISSER, MD's most frequently prescribed drugs include Levothyroxine Sodium, Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDY HEISSER, MD accept Medicare?
RANDY HEISSER, MD appears in CMS Medicare data with 10,734 Part D claims and 596 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDY HEISSER, MD's credentials?
RANDY HEISSER, MD's NPI is 1689620999 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