Raul Heredia, MD
Cardiovascular Disease Physician · Frankfort, KY
Raul Heredia, MD is a cardiovascular disease physician with a practice address in Frankfort, Kentucky, and NPI 1366408213, issued on Apr 20, 2006. Check the license (Kentucky 35532, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Raul Heredia
- Credential
- MD
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License number
- 35532 KY
Self-reported in NPPES; status is on the state search - Practice location
- 1002 Leawood Dr, Frankfort, KY 40601
- Phone
- (502) 227-7188
- Enumerated
- Apr 20, 2006
- Record last updated
- Dec 27, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (502) 227-7379
- Medicaid ID
- 64027345 KY
- Medicare enrollment
- Enrolled (PECOS I20050111000429); accepts Medicare assignment
- Medical or professional school
- University Of Texas Medical Branch At Galveston, 2000
- Entity
- Type 1 · individual
8 nearest cardiovascular disease physician records → All 284 in Kentucky → Look up another NPI →
Also registered at 1002 Leawood Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Roy Kiriakos, M.D.Cardiovascular Disease Physician1053579433
Verify Raul Heredia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 35532Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.4 times the Medicare Part D claims of the average cardiovascular disease physician in 2024
13,520 Medicare Part D claims for 1,197 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.
Most prescribed
- Rosuvastatin Calcium1,188 claims
- Metoprolol Succinate867 claims
- Amlodipine Besylate861 claims
- Atorvastatin Calcium809 claims
- Eliquis729 claims
- Ezetimibe544 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 95.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $4,101.85
199 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Baptist Health Medical Group IncFrankfort, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Raul Heredia among 284 cardiovascular disease physician records in Kentucky
Raul Heredia, MD is one of 284 cardiovascular disease physician records with a practice address in Kentucky. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.
- NPI issued2006 · 18% of these records are older, 43% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated2000 · median 1998 among the 216 with a school on file
- Record last updated2011 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Cardiovascular Disease Physician providers in Kentucky
There are 284 cardiovascular disease physician records in Kentucky.
All 284 in Kentucky → Every provider in Frankfort → Cardiovascular Disease Physician nationwide →
The 8 cardiovascular disease physician records with the nearest ZIP codes
- Yuri Boyechko, M.D.Frankfort, KY 406011306253679
- Andrew Bustin, MDFrankfort, KY 406011346272960
- Robert HammonsFrankfort, KY 406011710990064
- Roy Kiriakos, M.D.Frankfort, KY 406011053579433
- David Sihau, MDFrankfort, KY 406011902864051
- Grover Tussey, M.D.Frankfort, KY 406011780697037
- Talal Alnabelsi, MDLexington, KY 405361467869180
- Nicholas Biondi, DOLexington, KY 405361255787040
Common questions
What is Raul Heredia, MD's NPI number?
Raul Heredia, MD's National Provider Identifier (NPI) is 1366408213, issued on Apr 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Raul Heredia, MD located?
The NPPES record lists a practice address at 1002 Leawood Dr, Frankfort, KY, 40601. Phone: (502) 227-7188. Providers update this record themselves, so call before visiting.
How can I verify Raul Heredia, MD's license?
NPPES lists Kentucky license number 35532, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Raul Heredia, MD prescribe under Medicare Part D?
In 2024, Raul Heredia, MD had 13,520 Medicare Part D claims for 1,197 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Raul Heredia, MD's MIPS final score?
The 2023 MIPS final score is 95.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.