2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1518154079 DO
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CLAUDIA WHEELER, DO

Physical Medicine & Rehabilitation Physician in PROVIDENCE, Rhode Island. 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
711
Medicare Part D claims · 138 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$192.21
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CLAUDIA WHEELER, DO filed 711 Medicare Part D claims in 2023 as a Physical Medicine & Rehabilitation Physician in PROVIDENCE, Rhode Island, prescribing 78% generic.

711
Part D claims, 2023
78%
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.

CLAUDIA WHEELER, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

711 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

CLAUDIA WHEELER, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 CLAUDIA WHEELER, DO?

Quality data not reported

NPI registry status

Active

Issued 09/28/2007

NPI 1518154079

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

711 9% vs specialty avg

2023 prescription claims

Specialty avg: 781

Specialty distribution in Rhode Island

How Physical Medicine & Rehabilitation Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Physical Medicine & Rehabilitation Physician share within Rhode Island

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Physical Medicine & Rehabilitation Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physical Medicine & Rehabilitation Physician ABMS/AOA estimate

Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physical Medicine & Rehabilitation Physician) — ABMS / AOA estimate

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).

CLAUDIA WHEELER, DO appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding DO credentials at 765 ALLENS AVE, PROVIDENCE, RI, 02905, with a listed phone of (401) 606-4150. NPI 1518154079 was issued on 09/28/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WHEELER 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 711 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $290K in drug spend, split 22% brand-name and 78% generic by claim count. 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.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

765 ALLENS AVE
PROVIDENCE, RI 02905

Provider Details

NPI 1518154079
Specialty Physical Medicine & Rehabilitation Physician
Credentials DO
Gender Female
NPI Issued 09/28/2007

Hospital and facility affiliations

Facilities where CLAUDIA WHEELER, DO 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.

WEST COAST HEALTH AND REHAB PC
PROVIDENCE, RI

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 CLAUDIA WHEELER, DO. Source: openpaymentsdata.cms.gov.

Total received

$192

Largest payer

MERZ NORTH AMERICA, INC.

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 · Typical

CLAUDIA WHEELER, DO — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 711 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.

711
Total Claims
$290K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,355
Total Day Supply
39,514
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$272K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
57.6 years
Avg HCC Risk Score
1.80
Gender Split
50% female / 50% male
Age Distribution
<65: 78, 65-74: 34, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What CLAUDIA WHEELER, DO 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
Baclofen
243
Botox
Onabotulinumtoxina
133
Tizanidine Hcl
84
Gabapentin
71
Pregabalin
33
Diclofenac Sodium
27
Dysport
Abobotulinumtoxina
17
Diazepam
14
Fluoxetine Hcl
11

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

Physical Medicine & Rehabilitation Physician Overview

How CLAUDIA WHEELER, DO fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

CLAUDIA WHEELER, DO's 711 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as WHEELER.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CLAUDIA WHEELER, DO's specialty?
CLAUDIA WHEELER, DO specializes in Physical Medicine & Rehabilitation Physician and practices in PROVIDENCE, Rhode Island. Credentials: DO.
How much does CLAUDIA WHEELER, DO prescribe under Medicare Part D?
In 2023, CLAUDIA WHEELER, DO wrote 711 Medicare Part D claims totaling $290K in drug costs for 138 beneficiaries.
Where is CLAUDIA WHEELER, DO located?
CLAUDIA WHEELER, DO is located at 765 ALLENS AVE, PROVIDENCE, RI, 02905. Phone: (401) 606-4150.
What is CLAUDIA WHEELER, DO's NPI number?
CLAUDIA WHEELER, DO's National Provider Identifier (NPI) is 1518154079, issued on 09/28/2007.
Does CLAUDIA WHEELER, DO prescribe more brand-name or generic drugs?
CLAUDIA WHEELER, DO's prescribing is 22% brand-name and 78% generic drugs by claim count, with $272K in brand drug costs.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does CLAUDIA WHEELER, DO prescribe most often?
Based on 2023 Medicare Part D data, CLAUDIA WHEELER, DO's most frequently prescribed drugs include Baclofen, Botox, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CLAUDIA WHEELER, DO accept Medicare?
CLAUDIA WHEELER, DO appears in CMS Medicare data with 711 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CLAUDIA WHEELER, DO's credentials?
CLAUDIA WHEELER, DO's NPI is 1518154079 with credentials DO. 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.
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