Adam Sise, M.D.
Student in an Organized Health Care Education/Training Program in Portland, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 331,274 in Student in an Organized Health Care Education/Training Program, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Adam Sise, M.D. reported a CMS MIPS final score of 98.1/100 - above the 83.5 national average - and filed 2,439 Medicare Part D claims in 2023.
- 98.1/100
- MIPS score · +15 vs avg
- 2K
- Part D claims, 2023
- 59%
- generic prescribing
- $260.12
- industry payments (Sunshine Act)
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.
CMS NPPES provider registry desk
NPI 1891010997 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1891010997
- ENUM-MID 2010
- TAX-MEGA 331K Student in
- MIPS-ELITE 98.1/100
- RX-MID 2,439
- BOOK-LIGHT 1,121 in Maine
- PHOTO-FINISH Crystal Antoine Pepe… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sise · this prov…
Sise · this provider
98.1 MIPS pts
- David Peek · hig…
David Peek
98.1 MIPS pts
- Crystal Antoine …
Crystal Antoine Pepeljugoski
98.1 MIPS pts
- Chandler Barnes …
Chandler Barnes
98.1 MIPS pts
- Anthony Hesketh …
Anthony Hesketh
98.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Adam Sise, 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.
98 ≥ 89th percentile 89% 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 Adam Sise, M.D. sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Sise, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 88% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Adam Sise, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Adam Sise, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Maine
How Student in an Organized Health Care Education/Training Program compares to other specialties among Maine providers
Student in an Organized Health Care Education/Training Program ranks #9 among Maine's specialties (3.4% of in-state providers)
Each bar is a specialty's share of the Maine provider total, by primary NUCC taxonomy. The highlighted bar is Student in an Organized Health Care Education/Training Program; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Adam Sise, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 98.1/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Student in an Organized Health Care Education/Training Program US NPIs
98.1/100 MIPS final score - 14.6 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Student in an Organized Health Care Education/Training Program. Quality dim: 86.1.
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 | 1891010997 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/31/2010 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Adam Sise, M.D.'s current license status, disciplinary history, and board certifications with the Maine Board of Licensure in Medicine in Maine before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1891010997 is the unique 10-digit identifier CMS uses to link Sise across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Adam Sise, 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.
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 Sise, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$260
Largest payer
Alcon Vision LLC
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
41% brand-name claims vs 59% generic, on 2,439 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.
Prescribing Breakdown
- 30-Day Fills
- 3,642
- Total Day Supply
- 101,455
- Brand vs Generic
- 41% brand / 59% generic
- Brand Drug Cost
- $105K
- Generic Drug Cost
- $42K
- Antibiotic Claims
- 31
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 37, 65-74: 338, 75-84: 284, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Adam Sise, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisolone Acetate
Prednisolone Acetate
801 claims
- Ketorolac Trometha…
Ketorolac Tromethamine
507 claims
- Ofloxacin 284
Ofloxacin
284 claims
- Polymyxin B Sul-Tr… 272
Polymyxin B Sul-Trimethoprim
272 claims
- Valacyclovir 81
Valacyclovir
81 claims
- Fluorometholone 80
Fluorometholone
80 claims
- Moxifloxacin 52
Moxifloxacin
52 claims
- Brimonidine Tartrate 37
Brimonidine Tartrate
37 claims
| Drug | Claims |
|---|---|
| Prednisolone Acetate | 801 |
| Ketorolac Tromethamine | 507 |
| Ofloxacin | 284 |
| Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim | 272 |
| Valacyclovir Valacyclovir Hcl | 81 |
| Fluorometholone | 80 |
| Moxifloxacin Moxifloxacin Hcl | 52 |
| Brimonidine Tartrate | 37 |
| Latanoprost | 35 |
| Restasis Cyclosporine | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Student in an Organized Health Care Education/Training Program Overview
How Adam Sise, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
Adam Sise, M.D.'s 2,439 claims are above the specialty average of 459.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Sise, both outside Maine so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.1 here).
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Sise.
One of 1,121 Student in an Organized Health Care Education/Training Program providers enrolled in Maine, 5 are shown here.
Frequently Asked Questions
What is Adam Sise, M.D.'s specialty? ▼
How much does Adam Sise, M.D. prescribe under Medicare Part D? ▼
What is Adam Sise, M.D.'s Medicare quality score? ▼
Where is Adam Sise, M.D. located? ▼
What is Adam Sise, M.D.'s NPI number? ▼
Does Adam Sise, M.D. prescribe more brand-name or generic drugs? ▼
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
What drugs does Adam Sise, M.D. prescribe most often? ▼
Does Adam Sise, M.D. accept Medicare? ▼
How can I verify Adam Sise, M.D.'s credentials? ▼
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 (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
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 May 2026.
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