2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1750374476 M.D.
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CHARLES SEWALL, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in OAK RIDGE, Tennessee. 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
791
Medicare Part D claims · 322 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

CHARLES SEWALL, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 791 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
791
Part D claims, 2023
89%
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.

CHARLES SEWALL, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

CHARLES SEWALL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 CHARLES SEWALL, M.D.?

Below national average

NPI registry status

Active

Issued 08/28/2005

NPI 1750374476

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

791 109% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Tennessee providers

Tennessee providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Tennessee

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Tennessee

Medicare quality performance — MIPS

CHARLES SEWALL, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 75/100 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).

CHARLES SEWALL, M.D. appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding M.D. credentials at 800 OAK RIDGE TPKE, OAK RIDGE, TN, 37830, with a listed phone of (865) 483-2288. NPI 1750374476 was issued on 08/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEWALL 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 791 prescription claims written by this provider, covering 322 Medicare beneficiaries and totaling roughly $48K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.4%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

800 OAK RIDGE TPKE
OAK RIDGE, TN 37830

Provider Details

NPI 1750374476
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 08/28/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Brand vs generic prescribing mix · Typical

CHARLES SEWALL, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 791 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.

791
Total Claims
$48K
Total Drug Cost
322
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,123
Total Day Supply
27,199
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$19K
Generic Drug Cost
$29K
Opioid Claims
19 (2.4% rate)
Antibiotic Claims
72

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.20
Gender Split
59% female / 41% male
Age Distribution
<65: 48, 65-74: 157, 75-84: 100, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What CHARLES SEWALL, M.D. 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
Fluticasone Propionate
247
Epinephrine
100
Azelastine Hcl
95
Omeprazole
51
Prednisone
51
Azithromycin
22
Montelukast Sodium
20
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
17

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How CHARLES SEWALL, M.D. fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

CHARLES SEWALL, M.D.'s 791 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Tennessee

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

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES SEWALL, M.D.'s specialty?
CHARLES SEWALL, M.D. specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in OAK RIDGE, Tennessee. Credentials: M.D..
How much does CHARLES SEWALL, M.D. prescribe under Medicare Part D?
In 2023, CHARLES SEWALL, M.D. wrote 791 Medicare Part D claims totaling $48K in drug costs for 322 beneficiaries.
What is CHARLES SEWALL, M.D.'s Medicare quality score?
CHARLES SEWALL, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES SEWALL, M.D. located?
CHARLES SEWALL, M.D. is located at 800 OAK RIDGE TPKE, OAK RIDGE, TN, 37830. Phone: (865) 483-2288.
What is CHARLES SEWALL, M.D.'s NPI number?
CHARLES SEWALL, M.D.'s National Provider Identifier (NPI) is 1750374476, issued on 08/28/2005.
Does CHARLES SEWALL, M.D. prescribe more brand-name or generic drugs?
CHARLES SEWALL, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $19K in brand drug costs.
Does CHARLES SEWALL, M.D. prescribe opioids?
Yes, CHARLES SEWALL, M.D. had 19 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does CHARLES SEWALL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES SEWALL, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Epinephrine, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES SEWALL, M.D. accept Medicare?
CHARLES SEWALL, M.D. appears in CMS Medicare data with 791 Part D claims and 322 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES SEWALL, M.D.'s credentials?
CHARLES SEWALL, M.D.'s NPI is 1750374476 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

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