NPI registry status
Active
2026 NPPES data Infectious Disease Physician NPI 1154486454 MD
Verify on CMS → Kevin Shiley, MD
Infectious Disease Physician in Buffalo, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,292 in Infectious Disease 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
184
Medicare Part D claims · 43 beneficiaries · Infectious Disease Physician avg: 816
Industry payments
$89.98
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kevin Shiley, MD filed 184 Medicare Part D claims in 2023 as a Infectious Disease Physician in Buffalo, New York.
- 184
- Part D claims, 2023
- 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.
Kevin Shiley, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
184 35th percentile higher than 35% 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 certification likely (heuristic, not verified)
Kevin Shiley, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 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 Kevin Shiley, MD?
Quality data not reportedPrimary specialty
Infectious Disease Physician
Medicare Part D claims
184 77% vs specialty avg
Specialty distribution in New York
How Infectious Disease Physician compares to other specialties among New York 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 Infectious Disease 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).
Kevin Shiley, MD appears in the CMS NPPES registry as a Infectious Disease Physician provider holding MD credentials at 565 ABBOTT RD, Buffalo, NY, 14220, with a listed phone of (716) 828-2576. NPI 1154486454 was issued on 12/27/2006.
Medicare Part D records for calendar year 2023 show 184 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $21K in drug spend.
Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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 | 1154486454 |
|---|---|
| Specialty | Infectious Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/27/2006 |
Hospital and facility affiliations
Facilities where Kevin Shiley, 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.
Mercy Hospital OF Buffalo
★★☆☆☆ 2/5
Buffalo, NY
Acute Care Hospitals
CMS CCN: 330279
Sisters OF Charity Hospital OF Buffalo New York
Cheektowaga, NY
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 Kevin Shiley, MD. Source: openpaymentsdata.cms.gov.
Total received
$90
Largest payer
Astellas Pharma US Inc
Most common payment type
Education
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Kevin Shiley, MD. To verify Kevin Shiley, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
184
Total Claims
$21K
Total Drug Cost
43
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 187
- Total Day Supply
- 4,013
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 137
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 2.35
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kevin Shiley, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amoxicillin
Amoxicillin
20 claims
- Cefadroxil
Cefadroxil
20 claims
- Azithromycin
Azithromycin
19 claims
- Ethambutol Hcl
Ethambutol Hcl
16 claims
- Doxycycline Hyclate
Doxycycline Hyclate
14 claims
| Drug | Claims |
|---|---|
| Amoxicillin | 20 |
| Cefadroxil | 20 |
| Azithromycin | 19 |
| Ethambutol Hcl | 16 |
| Doxycycline Hyclate | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Infectious Disease Physician Overview
How Kevin Shiley, MD fits within the Infectious Disease Physician landscape nationally.
8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider
Kevin Shiley, MD's 184 claims are below the specialty average of 816.
Nearby Infectious Disease Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Shiley.
Dr. Mekonnen Abebe
M.D.
New York, NY
Dr. Maryam Abul
MD
New York, NY
Dr. Jacqueline Achkar
MD
Bronx, NY
Joel Ackelsberg
Long Island City, NY
Dr. Adedayo Adedeji
M.D.
Staten Island, NY
Compare Infectious Disease 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Infectious Disease 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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Medical Specialties Explained
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How insurance networks affect your costs
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Frequently Asked Questions
What is Kevin Shiley, MD's specialty? ▼
Kevin Shiley, MD specializes in Infectious Disease Physician and practices in Buffalo, New York. Credentials: MD.
How much does Kevin Shiley, MD prescribe under Medicare Part D? ▼
In 2023, Kevin Shiley, MD wrote 184 Medicare Part D claims totaling $21K in drug costs for 43 beneficiaries.
Where is Kevin Shiley, MD located? ▼
Kevin Shiley, MD is located at 565 ABBOTT RD, Buffalo, NY, 14220. Phone: (716) 828-2576.
What is Kevin Shiley, MD's NPI number? ▼
Kevin Shiley, MD's National Provider Identifier (NPI) is 1154486454, issued on 12/27/2006.
How many Infectious Disease Physician providers are there in the US? ▼
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does Kevin Shiley, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kevin Shiley, MD's most frequently prescribed drugs include Amoxicillin, Cefadroxil, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kevin Shiley, MD accept Medicare? ▼
Kevin Shiley, MD appears in CMS Medicare data with 184 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin Shiley, MD's credentials? ▼
Kevin Shiley, MD's NPI is 1154486454 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
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
Compiled from official public sources by the PlainDoctor editorial team.