NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1265408298 DO
Verify on CMS → Jesse Sheffield, DO
Family Medicine Physician in Waco, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
3K
Medicare Part D claims · 217 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$196.92
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Jesse Sheffield, DO filed 3,200 Medicare Part D claims in 2023 as a Family Medicine Physician in Waco, Texas, prescribing 86% generic.
- 3K
- Part D claims, 2023
- 86%
- generic prescribing
- $196.92
- 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.
Jesse Sheffield, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,200 Top 11% higher than 89% of 1,370,886 prescribers
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-eligible specialty (heuristic, not verified)
Jesse Sheffield, DO practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jesse Sheffield, DO?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
3,200 6% vs specialty avg
Specialty distribution in Texas
How Family Medicine Physician compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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).
Jesse Sheffield, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 9821 CHINA SPRING RD, Waco, TX, 76708, with a listed phone of (254) 202-7400. NPI 1265408298 was issued on 02/28/2006.
Medicare Part D records for calendar year 2023 show 3,200 prescription claims written by this provider, covering 217 Medicare beneficiaries and totaling roughly $343K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 7.1%.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1265408298 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 02/28/2006 |
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 Jesse Sheffield, DO. Source: openpaymentsdata.cms.gov.
Total received
$197
Largest payer
Supernus Pharmaceuticals, 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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Jesse Sheffield, DO. To verify Jesse Sheffield, DO's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Jesse Sheffield, DO - brand share 14.0%
Family Medicine Physician average
14% brand-name claims vs 86% generic, on 3,200 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.
3,200
Total Claims
$343K
Total Drug Cost
217
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,318
- Total Day Supply
- 178,440
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $267K
- Generic Drug Cost
- $75K
- Opioid Claims
- 226 (7.1% rate)
- Antibiotic Claims
- 105
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 51% female / 49% male
- Age Distribution
- <65: 37, 65-74: 104, 75-84: 56, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jesse Sheffield, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
138 claims
- Lisinopril
Lisinopril
118 claims
- Levothyroxine Sodium
Levothyroxine Sodium
96 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
88 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
81 claims
- Trazodone Hcl
Trazodone Hcl
73 claims
- Losartan Potassium
Losartan Potassium
67 claims
- Metformin Hcl
Metformin Hcl
65 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 138 |
| Lisinopril | 118 |
| Levothyroxine Sodium | 96 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 88 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 81 |
| Trazodone Hcl | 73 |
| Losartan Potassium | 67 |
| Metformin Hcl | 65 |
| Amlodipine Besylate | 64 |
| Omeprazole | 64 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Jesse Sheffield, DO fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Jesse Sheffield, DO's 3,200 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Sheffield.
Dr. Srinivasa Aaluri
MD
El Paso, TX
Dr. Maira Aamir
MD
Shenandoah, TX
Dr. Fakhrudin Aaseemah Mohamed
M.D
Allen, TX
Dr. So Abad
MD
Wichita Falls, TX
Yoseph Abadi
Richardson, TX
Compare Family 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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.
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Frequently Asked Questions
What is Jesse Sheffield, DO's specialty? ▼
Jesse Sheffield, DO specializes in Family Medicine Physician and practices in Waco, Texas. Credentials: DO.
How much does Jesse Sheffield, DO prescribe under Medicare Part D? ▼
In 2023, Jesse Sheffield, DO wrote 3,200 Medicare Part D claims totaling $343K in drug costs for 217 beneficiaries.
Where is Jesse Sheffield, DO located? ▼
Jesse Sheffield, DO is located at 9821 CHINA SPRING RD, Waco, TX, 76708. Phone: (254) 202-7400.
What is Jesse Sheffield, DO's NPI number? ▼
Jesse Sheffield, DO's National Provider Identifier (NPI) is 1265408298, issued on 02/28/2006.
Does Jesse Sheffield, DO prescribe more brand-name or generic drugs? ▼
Jesse Sheffield, DO's prescribing is 14% brand-name and 86% generic drugs by claim count, with $267K in brand drug costs.
Does Jesse Sheffield, DO prescribe opioids? ▼
Yes, Jesse Sheffield, DO had 226 opioid claims in 2023 with an opioid prescribing rate of 7.1%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Jesse Sheffield, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Jesse Sheffield, DO's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jesse Sheffield, DO accept Medicare? ▼
Jesse Sheffield, DO appears in CMS Medicare data with 3,200 Part D claims and 217 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jesse Sheffield, DO's credentials? ▼
Jesse Sheffield, DO's NPI is 1265408298 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
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.
- 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.