2026 NPPES data Pediatric Neurodevelopmental Disabilities Physician NPI 1437394681 M.D.
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NAJAM SHEIKH, M.D.

Pediatric Neurodevelopmental Disabilities Physician in SOUTH WILLIAMSON, Kentucky. 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
2K
Medicare Part D claims · 145 beneficiaries · Pediatric Neurodevelopmental Disabilities Physician avg: 386
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4009/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$174.98
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NAJAM SHEIKH, M.D. reported a CMS MIPS final score of 97.4009/100 — above the 83.1 national average — and filed 1,799 Medicare Part D claims in 2023.

97.4009/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
98%
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.

NAJAM SHEIKH, M.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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)

NAJAM SHEIKH, M.D. 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 NAJAM SHEIKH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/02/2008

NPI 1437394681

Primary specialty

Pediatric Neurodevelopmental Disabilities Physician

Rare

285 US NPIs in this specialty

Medicare Part D claims

1,799 366% vs specialty avg

2023 prescription claims

Specialty avg: 386

MIPS final score

97.4009/100 14.300899999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Pediatric Neurodevelopmental Disabilities Physician compares to other specialties among Kentucky providers

Kentucky providers

Pediatric Neurodevelopmental Disabilities Physician share within Kentucky

1. Pediatric Neurodevelopmental Disabilities Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Neurodevelopmental Disabilities Physician share within Kentucky

Medicare quality performance — MIPS

NAJAM SHEIKH, M.D.'s 2023 MIPS final score plotted against the Pediatric Neurodevelopmental Disabilities Physician national average

High performer (top quartile)
MIPS Final Score
97.4009/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Neurodevelopmental Disabilities Physician) — 97.4009/100 vs national avg 83.1

0%100%National avg83%97.4%
MIPS final score (Pediatric Neurodevelopmental Disabilities Physician) — 97.4009/100 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).

NAJAM SHEIKH, M.D. appears in the CMS NPPES registry as a Pediatric Neurodevelopmental Disabilities Physician provider holding M.D. credentials at 306 HOSPITAL DR, SOUTH WILLIAMSON, KY, 41503, with a listed phone of (606) 237-1757. NPI 1437394681 was issued on 12/02/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEIKH 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 1,799 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $95K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 8.3%. 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 97.4009/100 for the 2023 performance year (Quality 76.5564), compared with the national average of 83.1.

Pediatric Neurodevelopmental Disabilities Physician is a narrow specialty nationwide, with 285 enrolled providers across 41 states and an average of 386 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

306 HOSPITAL DR
SOUTH WILLIAMSON, KY 41503

Provider Details

NPI 1437394681
Specialty Pediatric Neurodevelopmental Disabilities Physician
Credentials M.D.
Gender Male
NPI Issued 12/02/2008

CMS Quality Score (MIPS)

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

97.4009
Final Score
Avg: 83.1
76.5564
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NAJAM SHEIKH, M.D. 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.

APPALACHIAN REGIONAL HEALTHCARE INC
SOUTH WILLIAMSON, KY

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 NAJAM SHEIKH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$175

Largest payer

Alexion Pharmaceuticals, 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 · Generic-heavy

NAJAM SHEIKH, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,799 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.

1,799
Total Claims
$95K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,025
Total Day Supply
59,497
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$62K
Generic Drug Cost
$33K
Opioid Claims
150 (8.3% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
62.0 years
Avg HCC Risk Score
1.48
Gender Split
48% female / 52% male
Age Distribution
<65: 71, 65-74: 56, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What NAJAM SHEIKH, M.D. 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
Gabapentin
445
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
143
Carbidopa-Levodopa
Carbidopa/Levodopa
104
Carbamazepine
91
Levetiracetam
85
Lamotrigine
58
Ropinirole Hcl
46
Cyclobenzaprine Hcl
42
Zolpidem Tartrate
36
Diclofenac Sodium
34

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

Pediatric Neurodevelopmental Disabilities Physician Overview

How NAJAM SHEIKH, M.D. fits within the Pediatric Neurodevelopmental Disabilities Physician landscape nationally.

285
Pediatric Neurodevelopmental Disabilities Physician Providers in US
41
States with Pediatric Neurodevelopmental Disabilities Physician
386
Avg Claims per Provider

NAJAM SHEIKH, M.D.'s 1,799 claims are above the specialty average of 386.

Nearby Pediatric Neurodevelopmental Disabilities Physician Providers in Kentucky

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

Compare Pediatric Neurodevelopmental Disabilities Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NAJAM SHEIKH, M.D.'s specialty?
NAJAM SHEIKH, M.D. specializes in Pediatric Neurodevelopmental Disabilities Physician and practices in SOUTH WILLIAMSON, Kentucky. Credentials: M.D..
How much does NAJAM SHEIKH, M.D. prescribe under Medicare Part D?
In 2023, NAJAM SHEIKH, M.D. wrote 1,799 Medicare Part D claims totaling $95K in drug costs for 145 beneficiaries.
What is NAJAM SHEIKH, M.D.'s Medicare quality score?
NAJAM SHEIKH, M.D. has a CMS MIPS Final Score of 97.4009/100 (Quality: 76.5564). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NAJAM SHEIKH, M.D. located?
NAJAM SHEIKH, M.D. is located at 306 HOSPITAL DR, SOUTH WILLIAMSON, KY, 41503. Phone: (606) 237-1757.
What is NAJAM SHEIKH, M.D.'s NPI number?
NAJAM SHEIKH, M.D.'s National Provider Identifier (NPI) is 1437394681, issued on 12/02/2008.
Does NAJAM SHEIKH, M.D. prescribe more brand-name or generic drugs?
NAJAM SHEIKH, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $62K in brand drug costs.
Does NAJAM SHEIKH, M.D. prescribe opioids?
Yes, NAJAM SHEIKH, M.D. had 150 opioid claims in 2023 with an opioid prescribing rate of 8.3%.
How many Pediatric Neurodevelopmental Disabilities Physician providers are there in the US?
There are 285 Pediatric Neurodevelopmental Disabilities Physician providers across 41 states in the US. The average Pediatric Neurodevelopmental Disabilities Physician provider writes 386 Medicare Part D claims per year.
What drugs does NAJAM SHEIKH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NAJAM SHEIKH, M.D.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Carbidopa-Levodopa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NAJAM SHEIKH, M.D. accept Medicare?
NAJAM SHEIKH, M.D. appears in CMS Medicare data with 1,799 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NAJAM SHEIKH, M.D.'s credentials?
NAJAM SHEIKH, M.D.'s NPI is 1437394681 with credentials M.D.. 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