NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1689746059 MD
Verify on CMS → Martin Sheridan, MD
Pulmonary Disease Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary 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
1K
Medicare Part D claims · 269 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.2/100
▼ 3 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Martin Sheridan, MD reported a CMS MIPS final score of 80.2/100 - below the 83.1 national average - and filed 1,439 Medicare Part D claims in 2023.
- 80.2/100
- MIPS score · -3 vs avg
- 1K
- Part D claims, 2023
- 38%
- 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.
Martin Sheridan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 33rd percentile higher than 33% of 477,587 scored providers
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
Where Martin Sheridan, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Martin Sheridan, MD writes more Part D claims than 59% of them and scores higher on MIPS quality than 39% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Martin Sheridan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Martin Sheridan, 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 Martin Sheridan, MD?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,439 1% vs specialty avg
MIPS final score
80.2/100 2.9 pts vs avg
Specialty distribution in Maryland
How Pulmonary Disease Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Martin Sheridan, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 80.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 80.2/100 vs national avg 83.1
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).
Martin Sheridan, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 6830 HOSPITAL DRIVE, Baltimore, MD, 21237, with a listed phone of (410) 687-6622. NPI 1689746059 was issued on 11/14/2006.
Medicare Part D records for calendar year 2023 show 1,439 prescription claims written by this provider, covering 269 Medicare beneficiaries and totaling roughly $677K in drug spend, split 62% brand-name and 38% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.2/100 for the 2023 performance year (Quality 76.7, Cost 53.5), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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 | 1689746059 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Martin Sheridan, 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.
Medstar Medical Group II LLC
Baltimore, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
Martin Sheridan, MD - brand share 62.0%
Pulmonary Disease Physician average
62% brand-name claims vs 38% generic, on 1,439 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.
1,439
Total Claims
$677K
Total Drug Cost
269
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,268
- Total Day Supply
- 62,862
- Brand vs Generic
- 62% brand / 38% generic
- Brand Drug Cost
- $646K
- Generic Drug Cost
- $31K
- Antibiotic Claims
- 98
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.92
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 34, 65-74: 104, 75-84: 103, 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 Martin Sheridan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
291 claims
- Trelegy Ellipta
Trelegy Ellipta
217 claims
- Prednisone
Prednisone
125 claims
- Breo Ellipta 62
Breo Ellipta
62 claims
- Breztri Aerosphere 61
Breztri Aerosphere
61 claims
- Ventolin Hfa 45
Ventolin Hfa
45 claims
- Montelukast Sodium 44
Montelukast Sodium
44 claims
- Azithromycin 40
Azithromycin
40 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 291 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 217 |
| Prednisone | 125 |
| Breo Ellipta Fluticasone/Vilanterol | 62 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 61 |
| Ventolin Hfa Albuterol Sulfate | 45 |
| Montelukast Sodium | 44 |
| Azithromycin | 40 |
| Fluticasone Propionate | 37 |
| Symbicort Budesonide/Formoterol Fumarate | 34 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Martin Sheridan, MD fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Martin Sheridan, MD's 1,439 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Sheridan.
Dr. Lev Agarunov
M.D.
Frederick, MD
Dr. Kalim Ahmed
MD
Hagerstown, MD
Dr. Ahmad Alkhatatneh
MD
White Plains, MD
Dr. Muhtadi Alnababteh
MD
Baltimore, MD
Dr. Susan Andrews
M.D.
Berlin, MD
Compare Pulmonary 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary 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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Frequently Asked Questions
What is Martin Sheridan, MD's specialty? ▼
Martin Sheridan, MD specializes in Pulmonary Disease Physician and practices in Baltimore, Maryland. Credentials: MD.
How much does Martin Sheridan, MD prescribe under Medicare Part D? ▼
In 2023, Martin Sheridan, MD wrote 1,439 Medicare Part D claims totaling $677K in drug costs for 269 beneficiaries.
What is Martin Sheridan, MD's Medicare quality score? ▼
Martin Sheridan, MD has a CMS MIPS Final Score of 80.2/100 (Quality: 76.7, Cost: 53.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Martin Sheridan, MD located? ▼
Martin Sheridan, MD is located at 6830 HOSPITAL DRIVE, Baltimore, MD, 21237. Phone: (410) 687-6622.
What is Martin Sheridan, MD's NPI number? ▼
Martin Sheridan, MD's National Provider Identifier (NPI) is 1689746059, issued on 11/14/2006.
Does Martin Sheridan, MD prescribe more brand-name or generic drugs? ▼
Martin Sheridan, MD's prescribing is 62% brand-name and 38% generic drugs by claim count, with $646K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Martin Sheridan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Martin Sheridan, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Martin Sheridan, MD accept Medicare? ▼
Martin Sheridan, MD appears in CMS Medicare data with 1,439 Part D claims and 269 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Martin Sheridan, MD's credentials? ▼
Martin Sheridan, MD's NPI is 1689746059 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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.