NPI registry status
Active
2026 NPPES data Specialist NPI 1467427542 MD
Verify on CMS → Mary Sheehan, MD
Specialist in Pittsburgh, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
2K
Medicare Part D claims · 751 beneficiaries · Specialist avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5/100
▼ 6 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Mary Sheehan, MD reported a CMS MIPS final score of 77.5/100 - below the 83.1 national average - and filed 2,205 Medicare Part D claims in 2023.
- 77.5/100
- MIPS score · -6 vs avg
- 2K
- Part D claims, 2023
- 89%
- generic prescribing
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.
Mary Sheehan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 24th percentile higher than 24% 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 Mary Sheehan, MD sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Mary Sheehan, MD writes more Part D claims than 73% of them and scores higher on MIPS quality than 40% - 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 specialist peer from a representative sample of 60; the gold marker is Mary Sheehan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Mary Sheehan, MD?
Below national averagePrimary specialty
Specialist
Medicare Part D claims
2,205 50% vs specialty avg
MIPS final score
77.5/100 5.6 pts vs avg
Specialty distribution in Pennsylvania
How Specialist compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Mary Sheehan, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 77.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 77.5/100 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).
Mary Sheehan, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 580 S AIKEN AVE, Pittsburgh, PA, 15232, with a listed phone of (412) 681-1072. NPI 1467427542 was issued on 02/22/2006.
Medicare Part D records for calendar year 2023 show 2,205 prescription claims written by this provider, covering 751 Medicare beneficiaries and totaling roughly $695K in drug spend, split 11% brand-name and 89% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5/100 for the 2023 performance year (Quality 68.6, Cost 56.4), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1467427542 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 02/22/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mary Sheehan, 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.
University OF Pittsburgh Physicians
Pittsburgh, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Mary Sheehan, MD. To verify Mary Sheehan, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Mary Sheehan, MD - brand share 11.0%
Specialist average
11% brand-name claims vs 89% generic, on 2,205 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.
2,205
Total Claims
$695K
Total Drug Cost
751
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,727
- Total Day Supply
- 68,770
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $614K
- Generic Drug Cost
- $81K
- Antibiotic Claims
- 172
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 57, 65-74: 354, 75-84: 273, 85+: 67
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mary Sheehan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clobetasol Propion…
Clobetasol Propionate
287 claims
- Mometasone Furoate
Mometasone Furoate
261 claims
- Ciclopirox
Ciclopirox
179 claims
- Ketoconazole 111
Ketoconazole
111 claims
- Doxycycline Hyclate 88
Doxycycline Hyclate
88 claims
- Terbinafine Hcl 86
Terbinafine Hcl
86 claims
- Cephalexin 67
Cephalexin
67 claims
- Triamcinolone Acet… 58
Triamcinolone Acetonide
58 claims
| Drug | Claims |
|---|---|
| Clobetasol Propionate | 287 |
| Mometasone Furoate | 261 |
| Ciclopirox Ciclopirox Olamine | 179 |
| Ketoconazole | 111 |
| Doxycycline Hyclate | 88 |
| Terbinafine Hcl | 86 |
| Cephalexin | 67 |
| Triamcinolone Acetonide | 58 |
| Imiquimod | 57 |
| Mupirocin | 57 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Mary Sheehan, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Mary Sheehan, MD's 2,205 claims are above the specialty average of 1,474.
Nearby Specialist Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Sheehan.
Dr. Edwin Abbott
D.O
West Chester, PA
Rula Abbud-Antaki
Allison Park, PA
Dr. Elie Abdallah
M.D.
Greensburg, PA
Dr. Houssam Abdul-Al
M.D.
Danville, PA
Dr. Raed Abdullah
MD
Pittsburgh, PA
Compare Specialist 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Mary Sheehan, MD's specialty? ▼
Mary Sheehan, MD specializes in Specialist and practices in Pittsburgh, Pennsylvania. Credentials: MD.
How much does Mary Sheehan, MD prescribe under Medicare Part D? ▼
In 2023, Mary Sheehan, MD wrote 2,205 Medicare Part D claims totaling $695K in drug costs for 751 beneficiaries.
What is Mary Sheehan, MD's Medicare quality score? ▼
Mary Sheehan, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 68.6, Cost: 56.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mary Sheehan, MD located? ▼
Mary Sheehan, MD is located at 580 S AIKEN AVE, Pittsburgh, PA, 15232. Phone: (412) 681-1072.
What is Mary Sheehan, MD's NPI number? ▼
Mary Sheehan, MD's National Provider Identifier (NPI) is 1467427542, issued on 02/22/2006.
Does Mary Sheehan, MD prescribe more brand-name or generic drugs? ▼
Mary Sheehan, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $614K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Mary Sheehan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Mary Sheehan, MD's most frequently prescribed drugs include Clobetasol Propionate, Mometasone Furoate, Ciclopirox. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mary Sheehan, MD accept Medicare? ▼
Mary Sheehan, MD appears in CMS Medicare data with 2,205 Part D claims and 751 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mary Sheehan, MD's credentials? ▼
Mary Sheehan, MD's NPI is 1467427542 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
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.