2026 NPPES data Internal Medicine Physician NPI 1376701391 MD
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SEBASTIAN HEERSINK, MD

Internal Medicine Physician in DOTHAN, Alabama. 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
4K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.6065/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$17.8K
118 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEBASTIAN HEERSINK, MD reported a CMS MIPS final score of 93.6065/100 — above the 83.1 national average — and filed 4,159 Medicare Part D claims in 2023.

93.6065/100
MIPS score · +11 vs avg
4K
Part D claims, 2023
53%
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.

SEBASTIAN HEERSINK, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

SEBASTIAN HEERSINK, 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 SEBASTIAN HEERSINK, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/27/2008

NPI 1376701391

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,159 53% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

93.6065/100 10.506500000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Internal Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Internal Medicine Physician share within Alabama

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

Medicare quality performance — MIPS

SEBASTIAN HEERSINK, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.6065/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 93.6065/100 vs national avg 83.1

0%100%National avg83%93.6%
MIPS final score (Internal Medicine Physician) — 93.6065/100 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).

SEBASTIAN HEERSINK, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2800 ROSS CLARK CIR, DOTHAN, AL, 36301, with a listed phone of (334) 793-2211. NPI 1376701391 was issued on 05/27/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEERSINK 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 4,159 prescription claims written by this provider, covering 1,381 Medicare beneficiaries and totaling roughly $500K in drug spend, split 47% brand-name and 53% generic by claim count, with an opioid prescribing rate of 1.5%. 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 93.6065/100 for the 2023 performance year (Quality 99.8299), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

2800 ROSS CLARK CIR
DOTHAN, AL 36301

Provider Details

NPI 1376701391
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/27/2008

CMS Quality Score (MIPS)

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

93.6065
Final Score
Avg: 83.1
99.8299
Quality
79
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEBASTIAN HEERSINK, 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.

EYE PARTNERS PC
DOTHAN, AL

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 SEBASTIAN HEERSINK, MD. Source: openpaymentsdata.cms.gov.

Total received

$17.8K

Largest payer

Glaukos Corporation

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 · Above average

SEBASTIAN HEERSINK, MD — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 4,159 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.

4,159
Total Claims
$500K
Total Drug Cost
1,381
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,101
Total Day Supply
133,772
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$438K
Generic Drug Cost
$62K
Opioid Claims
64 (1.5% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.17
Gender Split
60% female / 40% male
Age Distribution
<65: 178, 65-74: 761, 75-84: 388, 85+: 54

Top Prescribed Drugs (Medicare Part D)

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

What SEBASTIAN HEERSINK, 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
Ketorolac Tromethamine
1,273
Prednisolone Acetate
694
Ciprofloxacin Hcl
499
Prolensa
Bromfenac Sodium
358
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
238
Latanoprost
141
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
107
Besivance
Besifloxacin Hcl
86
Restasis
Cyclosporine
86
Timolol Maleate
76

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

Internal Medicine Physician Overview

How SEBASTIAN HEERSINK, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

SEBASTIAN HEERSINK, MD's 4,159 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Alabama

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

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

Frequently Asked Questions

What is SEBASTIAN HEERSINK, MD's specialty?
SEBASTIAN HEERSINK, MD specializes in Internal Medicine Physician and practices in DOTHAN, Alabama. Credentials: MD.
How much does SEBASTIAN HEERSINK, MD prescribe under Medicare Part D?
In 2023, SEBASTIAN HEERSINK, MD wrote 4,159 Medicare Part D claims totaling $500K in drug costs for 1,381 beneficiaries.
What is SEBASTIAN HEERSINK, MD's Medicare quality score?
SEBASTIAN HEERSINK, MD has a CMS MIPS Final Score of 93.6065/100 (Quality: 99.8299). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEBASTIAN HEERSINK, MD located?
SEBASTIAN HEERSINK, MD is located at 2800 ROSS CLARK CIR, DOTHAN, AL, 36301. Phone: (334) 793-2211.
What is SEBASTIAN HEERSINK, MD's NPI number?
SEBASTIAN HEERSINK, MD's National Provider Identifier (NPI) is 1376701391, issued on 05/27/2008.
Does SEBASTIAN HEERSINK, MD prescribe more brand-name or generic drugs?
SEBASTIAN HEERSINK, MD's prescribing is 47% brand-name and 53% generic drugs by claim count, with $438K in brand drug costs.
Does SEBASTIAN HEERSINK, MD prescribe opioids?
Yes, SEBASTIAN HEERSINK, MD had 64 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does SEBASTIAN HEERSINK, MD prescribe most often?
Based on 2023 Medicare Part D data, SEBASTIAN HEERSINK, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Prednisolone Acetate, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEBASTIAN HEERSINK, MD accept Medicare?
SEBASTIAN HEERSINK, MD appears in CMS Medicare data with 4,159 Part D claims and 1,381 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEBASTIAN HEERSINK, MD's credentials?
SEBASTIAN HEERSINK, MD's NPI is 1376701391 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