2026 NPPES data Ophthalmology Physician NPI 1205898004 M.D.
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PHILLIP SHERIDAN, M.D.

Ophthalmology Physician in WOODBURY, Minnesota. 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 · 479 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.7914/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

PHILLIP SHERIDAN, M.D. reported a CMS MIPS final score of 82.7914/100 — below the 83.1 national average — and filed 1,653 Medicare Part D claims in 2023.

82.7914/100
MIPS score · 0 vs avg
2K
Part D claims, 2023
70%
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.

PHILLIP SHERIDAN, 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

83 39th percentile higher than 39% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

PHILLIP SHERIDAN, 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 PHILLIP SHERIDAN, M.D.?

Near national average

NPI registry status

Active

Issued 04/05/2006

NPI 1205898004

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,653 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

82.7914/100 0.30859999999999843% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Minnesota

Medicare quality performance — MIPS

PHILLIP SHERIDAN, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
82.7914/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 82.7914/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Ophthalmology Physician) — 82.7914/100 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).

PHILLIP SHERIDAN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 2080 WOODWINDS DR, WOODBURY, MN, 55125, with a listed phone of (651) 578-6949. NPI 1205898004 was issued on 04/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHERIDAN 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 1,653 prescription claims written by this provider, covering 479 Medicare beneficiaries and totaling roughly $90K in drug spend, split 30% brand-name and 70% 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 82.7914/100 for the 2023 performance year (Quality 98.1635, Cost 48.641), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

2080 WOODWINDS DR
WOODBURY, MN 55125

Provider Details

NPI 1205898004
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 04/05/2006

CMS Quality Score (MIPS)

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

82.7914
Final Score
Avg: 83.1
98.1635
Quality
48.641
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PHILLIP SHERIDAN, 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.

ST PAUL EYE CLINIC PA
EAGAN, MN

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 · Above average

PHILLIP SHERIDAN, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 1,653 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.

1,653
Total Claims
$90K
Total Drug Cost
479
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,568
Total Day Supply
102,813
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$53K
Generic Drug Cost
$38K

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.16
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What PHILLIP SHERIDAN, 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
Latanoprost
599
Prednisolone Acetate
230
Timolol Maleate
205
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
123
Ketorolac Tromethamine
107
Erythromycin
Erythromycin Base
82
Brimonidine Tartrate
79
Dorzolamide Hcl
69
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
51
Travoprost
24

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

Ophthalmology Physician Overview

How PHILLIP SHERIDAN, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

PHILLIP SHERIDAN, M.D.'s 1,653 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is PHILLIP SHERIDAN, M.D.'s specialty?
PHILLIP SHERIDAN, M.D. specializes in Ophthalmology Physician and practices in WOODBURY, Minnesota. Credentials: M.D..
How much does PHILLIP SHERIDAN, M.D. prescribe under Medicare Part D?
In 2023, PHILLIP SHERIDAN, M.D. wrote 1,653 Medicare Part D claims totaling $90K in drug costs for 479 beneficiaries.
What is PHILLIP SHERIDAN, M.D.'s Medicare quality score?
PHILLIP SHERIDAN, M.D. has a CMS MIPS Final Score of 82.7914/100 (Quality: 98.1635, Cost: 48.641). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILLIP SHERIDAN, M.D. located?
PHILLIP SHERIDAN, M.D. is located at 2080 WOODWINDS DR, WOODBURY, MN, 55125. Phone: (651) 578-6949.
What is PHILLIP SHERIDAN, M.D.'s NPI number?
PHILLIP SHERIDAN, M.D.'s National Provider Identifier (NPI) is 1205898004, issued on 04/05/2006.
Does PHILLIP SHERIDAN, M.D. prescribe more brand-name or generic drugs?
PHILLIP SHERIDAN, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $53K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does PHILLIP SHERIDAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PHILLIP SHERIDAN, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILLIP SHERIDAN, M.D. accept Medicare?
PHILLIP SHERIDAN, M.D. appears in CMS Medicare data with 1,653 Part D claims and 479 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILLIP SHERIDAN, M.D.'s credentials?
PHILLIP SHERIDAN, M.D.'s NPI is 1205898004 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