2026 NPPES data Gastroenterology Physician NPI 1588665038 MD
Verify on CMS →

MARK SHUMEYKO, MD

Gastroenterology Physician in BINGHAMTON, 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
254
Medicare Part D claims · 108 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.7327/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

MARK SHUMEYKO, MD reported a CMS MIPS final score of 91.7327/100 — above the 83.1 national average — and filed 254 Medicare Part D claims in 2023.

91.7327/100
MIPS score · +9 vs avg
254
Part D claims, 2023
75%
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 SHUMEYKO, MD's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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)

MARK SHUMEYKO, 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 MARK SHUMEYKO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2005

NPI 1588665038

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

254 70% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

91.7327/100 8.6327% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Gastroenterology Physician compares to other specialties among New York providers

New York providers

Gastroenterology Physician share within New York

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

Medicare quality performance — MIPS

MARK SHUMEYKO, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
91.7327/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 91.7327/100 vs national avg 83.1

0%100%National avg83%91.7%
MIPS final score (Gastroenterology Physician) — 91.7327/100 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 SHUMEYKO, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 40 MITCHELL AVE, BINGHAMTON, NY, 13903, with a listed phone of (607) 772-0639. NPI 1588665038 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHUMEYKO 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 254 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $383K in drug spend, split 25% brand-name and 75% 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 91.7327/100 for the 2023 performance year (Quality 90.0169, Cost 70.0634), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

40 MITCHELL AVE
BINGHAMTON, NY 13903

Provider Details

NPI 1588665038
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

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

91.7327
Final Score
Avg: 83.1
90.0169
Quality
70.0634
Cost
100
Promoting Interoperability

Reporting: Group practice

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 MARK SHUMEYKO, MD. To verify MARK SHUMEYKO, 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.

Brand vs generic prescribing mix · Above average

MARK SHUMEYKO, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 254 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.

254
Total Claims
$383K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
498
Total Day Supply
14,269
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$354K
Generic Drug Cost
$29K

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.34
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What MARK SHUMEYKO, 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
Pantoprazole Sodium
49
Omeprazole
24
Dicyclomine Hcl
17
Mesalamine
15
Lubiprostone
11

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

Gastroenterology Physician Overview

How MARK SHUMEYKO, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

MARK SHUMEYKO, MD's 254 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New York

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

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

Frequently Asked Questions

What is MARK SHUMEYKO, MD's specialty?
MARK SHUMEYKO, MD specializes in Gastroenterology Physician and practices in BINGHAMTON, New York. Credentials: MD.
How much does MARK SHUMEYKO, MD prescribe under Medicare Part D?
In 2023, MARK SHUMEYKO, MD wrote 254 Medicare Part D claims totaling $383K in drug costs for 108 beneficiaries.
What is MARK SHUMEYKO, MD's Medicare quality score?
MARK SHUMEYKO, MD has a CMS MIPS Final Score of 91.7327/100 (Quality: 90.0169, Cost: 70.0634). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK SHUMEYKO, MD located?
MARK SHUMEYKO, MD is located at 40 MITCHELL AVE, BINGHAMTON, NY, 13903. Phone: (607) 772-0639.
What is MARK SHUMEYKO, MD's NPI number?
MARK SHUMEYKO, MD's National Provider Identifier (NPI) is 1588665038, issued on 08/09/2005.
Does MARK SHUMEYKO, MD prescribe more brand-name or generic drugs?
MARK SHUMEYKO, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $354K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does MARK SHUMEYKO, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK SHUMEYKO, MD's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK SHUMEYKO, MD accept Medicare?
MARK SHUMEYKO, MD appears in CMS Medicare data with 254 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK SHUMEYKO, MD's credentials?
MARK SHUMEYKO, MD's NPI is 1588665038 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