RAAFAT SHEHATA, M.D.
General Practice Physician in SOUTHFIELD, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
RAAFAT SHEHATA, M.D. reported a CMS MIPS final score of 77.2646/100 — below the 83.1 national average — and filed 410 Medicare Part D claims in 2023.
- 77.2646/100
- MIPS score · -6 vs avg
- 410
- Part D claims, 2023
- 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.
RAAFAT SHEHATA, 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
77 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
RAAFAT SHEHATA, 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 RAAFAT SHEHATA, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Michigan
How General Practice Physician compares to other specialties among Michigan providers
General Practice Physician share within Michigan
General Practice Physician is one of the more visible NUCC categories in Michigan
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
RAAFAT SHEHATA, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 77.2646/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Physician) — 77.2646/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume General Practice Physician US NPIs
77.2646/100 MIPS final score — 5.8 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: General Practice Physician. Quality dim: 82.2475. Cost dim: 41.968.
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).
RAAFAT SHEHATA, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 21540 W 11 MILE RD STE 200, SOUTHFIELD, MI, 48076, with a listed phone of (248) 352-2000. NPI 1891078846 was issued on 09/26/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEHATA 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 410 prescription claims written by this provider, covering 302 Medicare beneficiaries and totaling roughly $4K in drug spend. 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 77.2646/100 for the 2023 performance year (Quality 82.2475, Cost 41.968), compared with the national average of 83.1.
General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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 | 1891078846 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 09/26/2011 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm RAAFAT SHEHATA, M.D.'s current license status, disciplinary history, and board certifications with the Michigan Department of Licensing and Regulatory Affairs in Michigan before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where RAAFAT SHEHATA, 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.
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 — Michigan MI-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 ~41K Michigan medical licensees in 2023 — they are NOT specific to RAAFAT SHEHATA, M.D.. To verify RAAFAT SHEHATA, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 410
- Total Day Supply
- 4,289
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 121
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 34, 65-74: 147, 75-84: 109, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What RAAFAT SHEHATA, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
107 claims
- Cephalexin
Cephalexin
57 claims
- Fluticasone Propio… 29
Fluticasone Propionate
29 claims
- Prednisone 22
Prednisone
22 claims
- Albuterol Sulfate … 19
Albuterol Sulfate Hfa
19 claims
- Azithromycin 18
Azithromycin
18 claims
- Mupirocin 17
Mupirocin
17 claims
- Ibuprofen 11
Ibuprofen
11 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 107 |
| Cephalexin | 57 |
| Fluticasone Propionate | 29 |
| Prednisone | 22 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 19 |
| Azithromycin | 18 |
| Mupirocin | 17 |
| Ibuprofen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How RAAFAT SHEHATA, M.D. fits within the General Practice Physician landscape nationally.
RAAFAT SHEHATA, M.D.'s 410 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as SHEHATA.
Compare General Practice Physician nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Michigan
Frequently Asked Questions
What is RAAFAT SHEHATA, M.D.'s specialty? ▼
How much does RAAFAT SHEHATA, M.D. prescribe under Medicare Part D? ▼
What is RAAFAT SHEHATA, M.D.'s Medicare quality score? ▼
Where is RAAFAT SHEHATA, M.D. located? ▼
What is RAAFAT SHEHATA, M.D.'s NPI number? ▼
How many General Practice Physician providers are there in the US? ▼
What drugs does RAAFAT SHEHATA, M.D. prescribe most often? ▼
Does RAAFAT SHEHATA, M.D. accept Medicare? ▼
How can I verify RAAFAT SHEHATA, M.D.'s credentials? ▼
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