2026 NPPES data Otolaryngology Physician NPI 1699878736 MD
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LARRY SHEMEN, MD

Otolaryngology Physician in NEW YORK, New York. 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
927
Medicare Part D claims · 301 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
81.7761/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$2.3K
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LARRY SHEMEN, MD reported a CMS MIPS final score of 81.7761/100 — below the 83.1 national average — and filed 927 Medicare Part D claims in 2023.

81.7761/100
MIPS score · -1 vs avg
927
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.

LARRY SHEMEN, MD's MIPS score vs every scored U.S. clinician

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

82 36th percentile higher than 36% 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%). This entry sits in this band. 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)

LARRY SHEMEN, MD 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 LARRY SHEMEN, MD?

Near national average

NPI registry status

Active

Issued 09/06/2006

NPI 1699878736

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

927 82% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

81.7761/100 1.3238999999999947% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Otolaryngology Physician compares to other specialties among New York providers

New York providers

Otolaryngology Physician share within New York

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New York

Medicare quality performance — MIPS

LARRY SHEMEN, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Near national average
MIPS Final Score
81.7761/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 81.7761/100 vs national avg 83.1

0%100%National avg83%81.8%
MIPS final score (Otolaryngology Physician) — 81.7761/100 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).

LARRY SHEMEN, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 233 E 69TH ST, NEW YORK, NY, 10021, with a listed phone of (212) 472-8882. NPI 1699878736 was issued on 09/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEMEN 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 927 prescription claims written by this provider, covering 301 Medicare beneficiaries and totaling roughly $162K in drug spend, with an opioid prescribing rate of 3.0%. 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 81.7761/100 for the 2023 performance year (Quality 57.1308), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

233 E 69TH ST
NEW YORK, NY 10021

Provider Details

NPI 1699878736
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 09/06/2006

CMS Quality Score (MIPS)

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

81.7761
Final Score
Avg: 83.1
57.1308
Quality

Reporting: Group practice

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 LARRY SHEMEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

Baxter Healthcare

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 — 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 LARRY SHEMEN, MD. To verify LARRY SHEMEN, 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.

927
Total Claims
$162K
Total Drug Cost
301
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,083
Total Day Supply
27,821
Generic Drug Cost
$20K
Opioid Claims
28 (3.0% rate)
Antibiotic Claims
67

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.30
Gender Split
59% female / 41% male
Age Distribution
<65: 26, 65-74: 140, 75-84: 107, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What LARRY SHEMEN, 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
Fluticasone Propionate
233
Fluocinolone Acetonide Oil
83
Omeprazole
78
Azelastine Hcl
73
Levothyroxine Sodium
49
Amoxicillin
40
Xhance
Fluticasone Propionate
28
Acetaminophen-Codeine
Acetaminophen With Codeine
27
Zolpidem Tartrate
27
Famotidine
22

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

Otolaryngology Physician Overview

How LARRY SHEMEN, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

LARRY SHEMEN, MD's 927 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SHEMEN.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LARRY SHEMEN, MD's specialty?
LARRY SHEMEN, MD specializes in Otolaryngology Physician and practices in NEW YORK, New York. Credentials: MD.
How much does LARRY SHEMEN, MD prescribe under Medicare Part D?
In 2023, LARRY SHEMEN, MD wrote 927 Medicare Part D claims totaling $162K in drug costs for 301 beneficiaries.
What is LARRY SHEMEN, MD's Medicare quality score?
LARRY SHEMEN, MD has a CMS MIPS Final Score of 81.7761/100 (Quality: 57.1308). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LARRY SHEMEN, MD located?
LARRY SHEMEN, MD is located at 233 E 69TH ST, NEW YORK, NY, 10021. Phone: (212) 472-8882.
What is LARRY SHEMEN, MD's NPI number?
LARRY SHEMEN, MD's National Provider Identifier (NPI) is 1699878736, issued on 09/06/2006.
Does LARRY SHEMEN, MD prescribe opioids?
Yes, LARRY SHEMEN, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does LARRY SHEMEN, MD prescribe most often?
Based on 2023 Medicare Part D data, LARRY SHEMEN, MD's most frequently prescribed drugs include Fluticasone Propionate, Fluocinolone Acetonide Oil, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LARRY SHEMEN, MD accept Medicare?
LARRY SHEMEN, MD appears in CMS Medicare data with 927 Part D claims and 301 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LARRY SHEMEN, MD's credentials?
LARRY SHEMEN, MD's NPI is 1699878736 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