2026 NPPES data Specialist NPI 1821056912 MD
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STEFFEN HILLEMANN, MD

Specialist in SOUTH BURLINGTON, Vermont. 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
3K
Medicare Part D claims · 442 beneficiaries · Specialist avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.0519/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

STEFFEN HILLEMANN, MD reported a CMS MIPS final score of 90.0519/100 — above the 83.1 national average — and filed 3,495 Medicare Part D claims in 2023.

90.0519/100
MIPS score · +7 vs avg
3K
Part D claims, 2023
81%
generic prescribing

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.

STEFFEN HILLEMANN, MD's MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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

What does the federal data show about STEFFEN HILLEMANN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/01/2006

NPI 1821056912

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

3,495 137% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

90.0519/100 6.951900000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Vermont

How Specialist compares to other specialties among Vermont providers

Vermont providers

Specialist share within Vermont

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Vermont

Medicare quality performance — MIPS

STEFFEN HILLEMANN, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
90.0519/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 90.0519/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Specialist) — 90.0519/100 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).

STEFFEN HILLEMANN, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 364 DORSET ST, SOUTH BURLINGTON, VT, 05403, with a listed phone of (802) 862-6312. NPI 1821056912 was issued on 05/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILLEMANN 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 3,495 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $751K in drug spend, split 19% brand-name and 81% generic by claim count. 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 90.0519/100 for the 2023 performance year, compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

364 DORSET ST
SOUTH BURLINGTON, VT 05403

Provider Details

NPI 1821056912
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 05/01/2006

CMS Quality Score (MIPS)

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

90.0519
Final Score
Avg: 83.1
50.173
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where STEFFEN HILLEMANN, 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.

HILLEMANN AND KIRWAN MDS PC
SOUTH BURLINGTON, VT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

STEFFEN HILLEMANN, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 3,495 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.

3,495
Total Claims
$751K
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,626
Total Day Supply
256,660
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$647K
Generic Drug Cost
$104K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
1.13
Gender Split
39% female / 61% male

Top Prescribed Drugs (Medicare Part D)

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

What STEFFEN HILLEMANN, 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
Atorvastatin Calcium
438
Metoprolol Succinate
349
Eliquis
Apixaban
322
Losartan Potassium
188
Metoprolol Tartrate
173
Lisinopril
147
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
133
Clopidogrel
Clopidogrel Bisulfate
119
Furosemide
118
Dofetilide
115

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

Specialist Overview

How STEFFEN HILLEMANN, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

STEFFEN HILLEMANN, MD's 3,495 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Vermont

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEFFEN HILLEMANN, MD's specialty?
STEFFEN HILLEMANN, MD specializes in Specialist and practices in SOUTH BURLINGTON, Vermont. Credentials: MD.
How much does STEFFEN HILLEMANN, MD prescribe under Medicare Part D?
In 2023, STEFFEN HILLEMANN, MD wrote 3,495 Medicare Part D claims totaling $751K in drug costs for 442 beneficiaries.
What is STEFFEN HILLEMANN, MD's Medicare quality score?
STEFFEN HILLEMANN, MD has a CMS MIPS Final Score of 90.0519/100, Cost: 50.173. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEFFEN HILLEMANN, MD located?
STEFFEN HILLEMANN, MD is located at 364 DORSET ST, SOUTH BURLINGTON, VT, 05403. Phone: (802) 862-6312.
What is STEFFEN HILLEMANN, MD's NPI number?
STEFFEN HILLEMANN, MD's National Provider Identifier (NPI) is 1821056912, issued on 05/01/2006.
Does STEFFEN HILLEMANN, MD prescribe more brand-name or generic drugs?
STEFFEN HILLEMANN, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $647K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does STEFFEN HILLEMANN, MD prescribe most often?
Based on 2023 Medicare Part D data, STEFFEN HILLEMANN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEFFEN HILLEMANN, MD accept Medicare?
STEFFEN HILLEMANN, MD appears in CMS Medicare data with 3,495 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEFFEN HILLEMANN, MD's credentials?
STEFFEN HILLEMANN, MD's NPI is 1821056912 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