NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1366880411 M.D.
Verify on CMS → Veronica Heitsch, M.D.
Rheumatology Physician in Noblesville, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
619
Medicare Part D claims · 103 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
83.3/100
▼ 0 pts below national avg 83.5 · Above neutral
What the federal data shows
Veronica Heitsch, M.D. reported a CMS MIPS final score of 83.3/100 - below the 83.5 national average - and filed 619 Medicare Part D claims in 2024.
- 83.3/100
- MIPS score · 0 vs avg
- 619
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥39th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Veronica Heitsch, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1366880411), first enumerated 06/11/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 619 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 83.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1366880411 · Rheumatology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1366880411
- ENUM-MID 2013
- TAX-MID 6K Rheumatology Physician
- MIPS-INLINE 83.3/100
- RX-LIGHT 619
- BOOK-THIN 92 in Indiana
- PHOTO-FINISH Kenneth Vandyke, D.O. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Heitsch · this p…
Heitsch · this provider
83.3 MIPS pts
- Chara Solich, MD…
Chara Solich, MD
83.3 MIPS pts
- Kenneth Vandyke,…
Kenneth Vandyke, D.O.
83.3 MIPS pts
- Robert Fafalak, …
Robert Fafalak, MD
83.3 MIPS pts
- William Knibbe, …
William Knibbe, MD
83.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Veronica Heitsch, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
83 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Veronica Heitsch, M.D. sits
This provider among rheumatology physician peers
Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Veronica Heitsch, M.D. writes more Part D claims than 17% of them and scores higher on MIPS quality than 39% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Veronica Heitsch, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Veronica Heitsch, M.D. 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 Veronica Heitsch, M.D.?
Near national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
619 70% vs specialty avg
MIPS final score
83.3/100 0.2 pts vs avg
Specialty distribution in Indiana
How Rheumatology Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Veronica Heitsch, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 83.3/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1366880411 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/11/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.2895
Final Score
Measured-score avg: 83.5
58.7335
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Veronica Heitsch, M.D. 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.
Adena Medical Group LLC
Chillicothe, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
619
Total Claims
$694K
Total Drug Cost
103
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 892.733
- Total Day Supply
- 25,316
- Generic Drug Cost
- $13K
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 16, 65-74: 50, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Veronica Heitsch, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
133 claims
- Methotrexate
Methotrexate
103 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
100 claims
- Allopurinol
Allopurinol
55 claims
- Humira(Cf) Pen 28
Humira(Cf) Pen
28 claims
- Alendronate Sodium 22
Alendronate Sodium
22 claims
- Colchicine 20
Colchicine
20 claims
- Folic Acid 20
Folic Acid
20 claims
| Drug | Claims |
|---|---|
| Prednisone | 133 |
| Methotrexate Methotrexate Sodium | 103 |
| Hydroxychloroquine Sulfate | 100 |
| Allopurinol | 55 |
| Humira(Cf) Pen Adalimumab | 28 |
| Alendronate Sodium | 22 |
| Colchicine | 20 |
| Folic Acid | 20 |
| Leflunomide | 20 |
| Febuxostat | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Veronica Heitsch, M.D. fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
Veronica Heitsch, M.D.'s 619 claims are below the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Heitsch, both outside Indiana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (83.3 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Heitsch.
One of 92 Rheumatology Physician providers enrolled in Indiana, 5 are shown here.
Dr. Anan Afaneh
M.D.
Indianapolis, IN
Dr. Hassan Ahmad
MD
Lafayette, IN
Dr. Allen Anandarajah
MD
Indianapolis, IN
Dr. Inna Aroutiounova
M.D.
Indianapolis, IN
Dr. Natali Balog
MD
Granger, IN
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Veronica Heitsch, M.D.'s specialty? ▼
Veronica Heitsch, M.D. specializes in Rheumatology Physician and practices in Noblesville, Indiana. Credentials: M.D..
How much does Veronica Heitsch, M.D. prescribe under Medicare Part D? ▼
In 2024, Veronica Heitsch, M.D. wrote 619 Medicare Part D claims totaling $694K in drug costs for 103 beneficiaries.
What is Veronica Heitsch, M.D.'s Medicare quality score? ▼
Veronica Heitsch, M.D. has a CMS MIPS Final Score of 83.3/100 (Quality: 58.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Veronica Heitsch, M.D. located? ▼
Veronica Heitsch, M.D. is located at 17840 CUMBERLAND RD, Noblesville, IN, 46060. Phone: (317) 574-1254.
What is Veronica Heitsch, M.D.'s NPI number? ▼
Veronica Heitsch, M.D.'s National Provider Identifier (NPI) is 1366880411, issued on 06/11/2013.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does Veronica Heitsch, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Veronica Heitsch, M.D.'s most frequently prescribed drugs include Prednisone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Veronica Heitsch, M.D. accept Medicare? ▼
Veronica Heitsch, M.D. appears in CMS Medicare data with 619 Part D claims and 103 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Veronica Heitsch, M.D.'s credentials? ▼
Veronica Heitsch, M.D.'s NPI is 1366880411 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.