2026 NPPES data Otolaryngology Physician NPI 1801888441 MD
Verify on CMS →

MARK SEHGAL, MD

Otolaryngology Physician in MCALESTER, Oklahoma. 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
139
Medicare Part D claims · 51 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.7469/100
▼ 17 pts below national avg 83.1 · [object Object]
Industry payments
$37.43
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARK SEHGAL, MD reported a CMS MIPS final score of 65.7469/100 — below the 83.1 national average — and filed 139 Medicare Part D claims in 2023.

65.7469/100
MIPS score · -17 vs avg
139
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.

MARK SEHGAL, MD's MIPS score vs every scored U.S. clinician

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

66 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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)

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

Below national average

NPI registry status

Active

Issued 08/19/2005

NPI 1801888441

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

139 73% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

65.7469/100 17.353099999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Otolaryngology Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Otolaryngology Physician share within Oklahoma

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

Medicare quality performance — MIPS

MARK SEHGAL, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
65.7469/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 65.7469/100 vs national avg 83.1

0%100%National avg83%65.7%
MIPS final score (Otolaryngology Physician) — 65.7469/100 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).

MARK SEHGAL, MD is a Otolaryngology Physician provider practicing in MCALESTER, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801888441. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK SEHGAL, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1401 E VAN BUREN AVE, MCALESTER, OK, 74502, with a listed phone of (918) 421-8446. NPI 1801888441 was issued on 08/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEHGAL 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 139 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $6K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 65.7469/100 for the 2023 performance year (Quality 67.524, Cost 42.4392), 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

1401 E VAN BUREN AVE
MCALESTER, OK 74502

Provider Details

NPI 1801888441
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/19/2005

CMS Quality Score (MIPS)

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

65.7469
Final Score
Avg: 83.1
67.524
Quality
42.4392
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK SEHGAL, 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.

CHOCTAW NATION OF OKLAHOMA
TALIHINA, OK

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 MARK SEHGAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

ALK-Abello, 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

MARK SEHGAL, MD — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 139 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.

139
Total Claims
$6K
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
162
Total Day Supply
3,877
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$3K
Generic Drug Cost
$3K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.38
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ipratropium Bromide
34
Fluticasone Propionate
22
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Methylprednisolone
11
Omeprazole
11

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

Otolaryngology Physician Overview

How MARK SEHGAL, 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

MARK SEHGAL, MD's 139 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Oklahoma

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

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

Frequently Asked Questions

What is MARK SEHGAL, MD's specialty?
MARK SEHGAL, MD specializes in Otolaryngology Physician and practices in MCALESTER, Oklahoma. Credentials: MD.
How much does MARK SEHGAL, MD prescribe under Medicare Part D?
In 2023, MARK SEHGAL, MD wrote 139 Medicare Part D claims totaling $6K in drug costs for 51 beneficiaries.
What is MARK SEHGAL, MD's Medicare quality score?
MARK SEHGAL, MD has a CMS MIPS Final Score of 65.7469/100 (Quality: 67.524, Cost: 42.4392). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK SEHGAL, MD located?
MARK SEHGAL, MD is located at 1401 E VAN BUREN AVE, MCALESTER, OK, 74502. Phone: (918) 421-8446.
What is MARK SEHGAL, MD's NPI number?
MARK SEHGAL, MD's National Provider Identifier (NPI) is 1801888441, issued on 08/19/2005.
Does MARK SEHGAL, MD prescribe more brand-name or generic drugs?
MARK SEHGAL, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $3K in brand drug costs.
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 MARK SEHGAL, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK SEHGAL, MD's most frequently prescribed drugs include Ipratropium Bromide, Fluticasone Propionate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK SEHGAL, MD accept Medicare?
MARK SEHGAL, MD appears in CMS Medicare data with 139 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK SEHGAL, MD's credentials?
MARK SEHGAL, MD's NPI is 1801888441 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