2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1477967768 M.D.
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PETER SHEKAILO, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in CLERMONT, Florida. 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
912
Medicare Part D claims · 278 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.0896/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$16.6
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PETER SHEKAILO, M.D. reported a CMS MIPS final score of 90.0896/100 — above the 83.1 national average — and filed 912 Medicare Part D claims in 2023.

90.0896/100
MIPS score · +7 vs avg
912
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.

PETER SHEKAILO, 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

90 Top 40% higher than 60% 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)

PETER SHEKAILO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations — 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 PETER SHEKAILO, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/16/2014

NPI 1477967768

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

912 85% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

90.0896/100 6.98960000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Florida providers

Florida providers

Adult Reconstructive Orthopaedic Surgery Physician share within Florida

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Florida

Medicare quality performance — MIPS

PETER SHEKAILO, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
90.0896/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 90.0896/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 90.0896/100 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).

PETER SHEKAILO, M.D. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 1925 DON WICKHAM DR, CLERMONT, FL, 34711, with a listed phone of (352) 404-8956. NPI 1477967768 was issued on 06/16/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEKAILO 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 912 prescription claims written by this provider, covering 278 Medicare beneficiaries and totaling roughly $15K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 38.0%. 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 90.0896/100 for the 2023 performance year (Quality 93.6466, Cost 75.4367), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

1925 DON WICKHAM DR
CLERMONT, FL 34711

Provider Details

NPI 1477967768
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/16/2014

CMS Quality Score (MIPS)

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

90.0896
Final Score
Avg: 83.1
93.6466
Quality
75.4367
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PETER SHEKAILO, 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.

ABILITY HEALTH SERVICES AND REHABILITATION LP
SANFORD, FL
ABILITY HEALTH SERVICES, INC
SANFORD, FL
CORA HEALTH SERVICES INC
OCALA, FL
FCHR PA
CLERMONT, FL
FLORIDA ORTHOPEDIC AND REHAB LLC
CLERMONT, FL

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 PETER SHEKAILO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Pacira Pharmaceuticals Incorporated

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to PETER SHEKAILO, M.D.. To verify PETER SHEKAILO, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

PETER SHEKAILO, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 912 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.

912
Total Claims
$15K
Total Drug Cost
278
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
919
Total Day Supply
13,571
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$8K
Generic Drug Cost
$6K
Opioid Claims
347 (38.0% rate)
Antibiotic Claims
103

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.33
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What PETER SHEKAILO, 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
Tramadol Hcl
202
Oxycodone Hcl
123
Meloxicam
121
Ondansetron Hcl
118
Celecoxib
92
Pantoprazole Sodium
64
Amoxicillin
58
Cefadroxil
37
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
16
Methylprednisolone
11

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How PETER SHEKAILO, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

PETER SHEKAILO, M.D.'s 912 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Florida

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER SHEKAILO, M.D.'s specialty?
PETER SHEKAILO, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in CLERMONT, Florida. Credentials: M.D..
How much does PETER SHEKAILO, M.D. prescribe under Medicare Part D?
In 2023, PETER SHEKAILO, M.D. wrote 912 Medicare Part D claims totaling $15K in drug costs for 278 beneficiaries.
What is PETER SHEKAILO, M.D.'s Medicare quality score?
PETER SHEKAILO, M.D. has a CMS MIPS Final Score of 90.0896/100 (Quality: 93.6466, Cost: 75.4367). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER SHEKAILO, M.D. located?
PETER SHEKAILO, M.D. is located at 1925 DON WICKHAM DR, CLERMONT, FL, 34711. Phone: (352) 404-8956.
What is PETER SHEKAILO, M.D.'s NPI number?
PETER SHEKAILO, M.D.'s National Provider Identifier (NPI) is 1477967768, issued on 06/16/2014.
Does PETER SHEKAILO, M.D. prescribe more brand-name or generic drugs?
PETER SHEKAILO, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $8K in brand drug costs.
Does PETER SHEKAILO, M.D. prescribe opioids?
Yes, PETER SHEKAILO, M.D. had 347 opioid claims in 2023 with an opioid prescribing rate of 38.0%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does PETER SHEKAILO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER SHEKAILO, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Oxycodone Hcl, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER SHEKAILO, M.D. accept Medicare?
PETER SHEKAILO, M.D. appears in CMS Medicare data with 912 Part D claims and 278 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER SHEKAILO, M.D.'s credentials?
PETER SHEKAILO, M.D.'s NPI is 1477967768 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