# Raul Heredia, MD

Source: https://ourhealthnetwork.com/doctor/raul-heredia-md-1366408213
NPI: 1366408213
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Raul Heredia, MD is a cardiovascular disease (cardiology) based in Frankfort, KY practicing at Baptist Health Medical Group Inc with NPI 1366408213.

## Profile

- Primary specialty: Cardiovascular Disease (cardiology)
- Secondary specialties: INTERNAL MEDICINE
- Credential: MD
- Gender: Male
- Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
- Graduation year: 2000
- NPI: 1366408213 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1366408213))

## Practice and contact

- Practice name: Baptist Health Medical Group Inc
- Address: 1002 Leawood Dr, Frankfort, KY, 406013349
- Phone: (502) 227-7188
- Group practice size: 2442 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 95.51/100
- Quality category score: 89.60/100
- Promoting Interoperability score: 100.00/100
- Improvement Activities score: 40.00/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (8 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 10 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 6 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Molina Healthcare](https://ourhealthnetwork.com/insurance/molina-healthcare) — 2 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Raul Heredia, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1366408213).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 188 disclosed payments from medical industry sources totaling approximately $3,901.

Largest disclosed payer: AstraZeneca Pharmaceuticals LP ($893 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Cardiovascular Disease (cardiology) doctors in FRANKFORT, KY](https://ourhealthnetwork.com/cardiovascular-disease-cardiology/ky/frankfort)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1366408213)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)