2026 NPPES data Internal Medicine Physician NPI 1184914699 MD
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Douglas Sheffer, MD

Internal Medicine Physician in Evansville, Indiana. 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
8K
Medicare Part D claims · 921 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$63.3K
95 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Douglas Sheffer, MD reported a CMS MIPS final score of 95.6/100 — above the 83.1 national average — and filed 7,559 Medicare Part D claims in 2023.

95.6/100
MIPS score · +12 vs avg
8K
Part D claims, 2023
86%
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.

Douglas Sheffer, MD's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

Douglas Sheffer, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Douglas Sheffer, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/18/2011

NPI 1184914699

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

7,559 178% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

95.6/100 12.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Indiana

How Internal Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Internal Medicine Physician share within Indiana

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Indiana

Medicare quality performance — MIPS

Douglas Sheffer, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 95.6/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Internal Medicine Physician) — 95.6/100 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).

Douglas Sheffer, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 901 SAINT MARYS DR STE 300, Evansville, IN, 47714, with a listed phone of (812) 473-2642. NPI 1184914699 was issued on 04/18/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sheffer 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 7,559 prescription claims written by this provider, covering 921 Medicare beneficiaries and totaling roughly $930K in drug spend, split 14% brand-name and 86% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.6/100 for the 2023 performance year (Quality 89.3), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

901 SAINT MARYS DR STE 300
Evansville, IN 47714

Provider Details

NPI 1184914699
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/18/2011

CMS Quality Score (MIPS)

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

95.5762
Final Score
Avg: 83.1
89.3263
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Douglas Sheffer, MD 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.

Hamilton Memorial Hospital District
Mc Leansboro, IL
St Marys Health Inc
Newburgh, IN
St Marys Medical Group LLC
Mc Leansboro, IL

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 Douglas Sheffer, MD. Source: openpaymentsdata.cms.gov.

Total received

$63.3K

Largest payer

Edwards Lifesciences 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.

Brand vs generic prescribing mix · Typical

Douglas Sheffer, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 7,559 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.

7,559
Total Claims
$930K
Total Drug Cost
921
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,858
Total Day Supply
501,385
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$808K
Generic Drug Cost
$122K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.42
Gender Split
49% female / 51% male
Age Distribution
<65: 74, 65-74: 409, 75-84: 345, 85+: 93

Top Prescribed Drugs (Medicare Part D)

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

What Douglas Sheffer, MD 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
Atorvastatin Calcium
724
Metoprolol Succinate
454
Amlodipine Besylate
435
Isosorbide Mononitrate Er
Isosorbide Mononitrate
433
Metoprolol Tartrate
430
Eliquis
Apixaban
418
Carvedilol
387
Rosuvastatin Calcium
358
Clopidogrel
Clopidogrel Bisulfate
281
Lisinopril
262

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

Internal Medicine Physician Overview

How Douglas Sheffer, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Douglas Sheffer, MD's 7,559 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Indiana

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Indiana medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Douglas Sheffer, MD's specialty?
Douglas Sheffer, MD specializes in Internal Medicine Physician and practices in Evansville, Indiana. Credentials: MD.
How much does Douglas Sheffer, MD prescribe under Medicare Part D?
In 2023, Douglas Sheffer, MD wrote 7,559 Medicare Part D claims totaling $930K in drug costs for 921 beneficiaries.
What is Douglas Sheffer, MD's Medicare quality score?
Douglas Sheffer, MD has a CMS MIPS Final Score of 95.6/100 (Quality: 89.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Sheffer, MD located?
Douglas Sheffer, MD is located at 901 SAINT MARYS DR STE 300, Evansville, IN, 47714. Phone: (812) 473-2642.
What is Douglas Sheffer, MD's NPI number?
Douglas Sheffer, MD's National Provider Identifier (NPI) is 1184914699, issued on 04/18/2011.
Does Douglas Sheffer, MD prescribe more brand-name or generic drugs?
Douglas Sheffer, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $808K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Douglas Sheffer, MD prescribe most often?
Based on 2023 Medicare Part D data, Douglas Sheffer, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Sheffer, MD accept Medicare?
Douglas Sheffer, MD appears in CMS Medicare data with 7,559 Part D claims and 921 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Sheffer, MD's credentials?
Douglas Sheffer, MD's NPI is 1184914699 with credentials MD. 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