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2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1588951974 M.D.
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Adam Shestack, M.D.

Pain Medicine (Anesthesiology) Physician in Delray Beach, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,094 in Pain Medicine (Anesthesiology) 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
2K
Medicare Part D claims · 558 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
Industry payments
$1.0K
31 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Adam Shestack, M.D. reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 2,113 Medicare Part D claims in 2024.

77.4/100
MIPS score · -6 vs avg
2K
Part D claims, 2024
95%
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.

Federal trust snapshot

What official records show about Adam Shestack, 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 1588951974), first enumerated 07/06/2011.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,113 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 77.4/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.0K in reported industry payments (31 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Adam Shestack, M.D.'s individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • 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 1588951974 · Pain Medicine (Anesthesiology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1588951974
  • ENUM-MID 2011
  • TAX-NARROW 4,094
  • MIPS-BELOW 77.4/100
  • RX-MID 2,113
  • BOOK-THIN 361 in Florida
  • PHOTO-FINISH Mark Hoenecke · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Adam Shestack, 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.

77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Adam Shestack, M.D. sits

This provider among pain medicine (anesthesiology) physician peers

Across the 928 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Shestack, M.D. writes more Part D claims than 70% of them and scores higher on MIPS quality than 38% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Adam Shestack, M.D., Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Adam Shestack, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Adam Shestack, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Adam Shestack, M.D.?

Below national average

NPI registry status

Active

Issued 07/06/2011

NPI 1588951974

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,094 US NPIs in this specialty

Medicare Part D claims

2,113 22% vs specialty avg

2024 prescription claims

Specialty avg: 1,731

MIPS final score

77.4/100 6.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Florida

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Pain Medicine (Anesthesiolog…0.1%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Adam Shestack, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
77.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.4%
MIPS final score (Pain Medicine (Anesthesiology) Physician) - 77.4/100 vs national avg 83.5
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

4675 LINTON BLVD STE 200
Delray Beach, FL 33445
(561) 331-5050

Provider Details

NPI 1588951974
Specialty Pain Medicine (Anesthesiology) Physician
Credentials M.D.
Gender Male
NPI Issued 07/06/2011

CMS Quality Score (MIPS)

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

77.4486
Final Score
Measured-score avg: 83.5
54.7947
Quality
98
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Adam Shestack, 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.

Cora Health Services Inc
Delray Beach, FL
Flpmi, LLC
Delray Beach, FL

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 Adam Shestack, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

Boston Scientific 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.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Adam Shestack, M.D.. To verify Adam Shestack, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Adam Shestack, M.D. - brand share 5.0%
Pain Medicine (Anesthesiology) Physician average

5% brand-name claims vs 95% generic, on 2,113 2024 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 2024.

2,113
Total Claims
$90K
Total Drug Cost
558
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,167
Total Day Supply
52,324
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$30K
Generic Drug Cost
$60K
Opioid Claims
1,580 (74.8% rate)

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
2.10
Gender Split
61% female / 39% male
Age Distribution
<65: 54, 65-74: 178, 75-84: 249, 85+: 77

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Adam Shestack, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
365
Tramadol Hcl
 346
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
324
Oxycodone Hcl
 236
Pregabalin
 105
Morphine Sulfate Er
Morphine Sulfate
68
Gabapentin
 66
Acetaminophen-Codeine
Acetaminophen With Codeine
59
Methylprednisolone
 58
Tizanidine Hcl
 53

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

More Pain Medicine (Anesthesiology) Physician in FL → All providers in Florida → Compare specialties →

Pain Medicine (Anesthesiology) Physician Overview

How Adam Shestack, M.D. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,094
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,731
Avg Claims per Provider

Adam Shestack, M.D.'s 2,113 claims are above the specialty average of 1,731.

Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Shestack, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).

Mark Hoenecke 77.4 WI Dawn Ledbetter 77.4 WI Benedict Alter 77.5 PA Peter Boateng 77.5 PA

Same NPPES enumeration year (2011)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Joel Ehrenfeld Brooklyn, NY Albert Koh Bronx, NY Clinton Thome Coeur D Alene, ID William Spalding Los Angeles, CA

Nearby Pain Medicine (Anesthesiology) Physician Providers in Florida

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

One of 361 Pain Medicine (Anesthesiology) Physician providers enrolled in Florida, 5 are shown here.

Dr. Naglaa Abdel-Al
M.D.
Gainesville, FL
Dr. Mark Abumoussa
MD
Hollywood, FL
Dr. Robert Ackerman
M.D.
Tampa, FL
Dr. Gilberto Acosta
M.D.
Fort Myers, FL
Dr. Richard Adkins
M.D.
Melbourne, FL

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Adam Shestack, M.D.'s specialty? ▼
Adam Shestack, M.D. specializes in Pain Medicine (Anesthesiology) Physician and practices in Delray Beach, Florida. Credentials: M.D..
How much does Adam Shestack, M.D. prescribe under Medicare Part D? ▼
In 2024, Adam Shestack, M.D. wrote 2,113 Medicare Part D claims totaling $90K in drug costs for 558 beneficiaries.
What is Adam Shestack, M.D.'s Medicare quality score? ▼
Adam Shestack, M.D. has a CMS MIPS Final Score of 77.4/100 (Quality: 54.8). 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 Adam Shestack, M.D. located? ▼
Adam Shestack, M.D. is located at 4675 LINTON BLVD STE 200, Delray Beach, FL, 33445. Phone: (561) 331-5050.
What is Adam Shestack, M.D.'s NPI number? ▼
Adam Shestack, M.D.'s National Provider Identifier (NPI) is 1588951974, issued on 07/06/2011.
Does Adam Shestack, M.D. prescribe more brand-name or generic drugs? ▼
Adam Shestack, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $30K in brand drug costs.
Does Adam Shestack, M.D. prescribe opioids? ▼
Yes, Adam Shestack, M.D. had 1,580 opioid claims in 2024 with an opioid prescribing rate of 74.8%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,094 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,731 Medicare Part D claims per year.
What drugs does Adam Shestack, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Adam Shestack, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Tramadol Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adam Shestack, M.D. accept Medicare? ▼
Adam Shestack, M.D. appears in CMS Medicare data with 2,113 Part D claims and 558 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Shestack, M.D.'s credentials? ▼
Adam Shestack, M.D.'s NPI is 1588951974 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

Compiled from official public sources by the editorial process.

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.