2026 NPPES data Internal Medicine Physician NPI 1295152122 M.D.
Verify on CMS →

Scott Sherwin, M.D.

Internal Medicine Physician in Elmhurst, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, 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
318
Medicare Part D claims · 108 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
98.1/100
▲ 15 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Scott Sherwin, M.D. reported a CMS MIPS final score of 98.1/100 - above the 83.1 national average - and filed 318 Medicare Part D claims in 2023.

98.1/100
MIPS score · +15 vs avg
318
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.

Scott Sherwin, 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

98 Top 11% higher than 89% 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+: 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

Where Scott Sherwin, M.D. sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Scott Sherwin, M.D. writes more Part D claims than 34% of them and scores higher on MIPS quality than 89% - placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Scott Sherwin, M.D.-Part D claim volume, percentile in specialty: 34 · MIPS quality, percentile: 89
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Scott Sherwin, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Scott Sherwin, 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 Scott Sherwin, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/28/2014

NPI 1295152122

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

318 88% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

98.1/100 15 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Internal Medicine Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Internal Medicine Physician - 2.6%Internal Medicine Physician2.6%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Scott Sherwin, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
98.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 98.1/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Internal Medicine Physician) - 98.1/100 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).

Scott Sherwin, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 7901 BROADWAY, Elmhurst, NY, 11373, with a listed phone of (646) 634-9388. NPI 1295152122 was issued on 03/28/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sherwin 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 318 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $14K in drug spend, with an opioid prescribing rate of 5.3%. 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 98.1/100 for the 2023 performance year (Quality 86.1), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

7901 BROADWAY
Elmhurst, NY 11373

Provider Details

NPI 1295152122
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 03/28/2014

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Scott Sherwin, 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.

Mainehealth
Portland, ME

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Scott Sherwin, M.D.. To verify Scott Sherwin, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York 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.

318
Total Claims
$14K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
327
Total Day Supply
6,532
Generic Drug Cost
$7K
Opioid Claims
17 (5.3% rate)
Antibiotic Claims
66

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.82
Gender Split
54% female / 46% male
Age Distribution
<65: 14, 65-74: 31, 75-84: 40, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What Scott Sherwin, 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
Cefdinir
16
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Prednisone
14
Tamsulosin Hcl
12
Amlodipine Besylate
11
Atorvastatin Calcium
11
Finasteride
11

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

Internal Medicine Physician Overview

How Scott Sherwin, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Scott Sherwin, M.D.'s 318 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Sherwin.

Compare Internal Medicine Physician 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 New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician 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.

Frequently Asked Questions

What is Scott Sherwin, M.D.'s specialty?
Scott Sherwin, M.D. specializes in Internal Medicine Physician and practices in Elmhurst, New York. Credentials: M.D..
How much does Scott Sherwin, M.D. prescribe under Medicare Part D?
In 2023, Scott Sherwin, M.D. wrote 318 Medicare Part D claims totaling $14K in drug costs for 108 beneficiaries.
What is Scott Sherwin, M.D.'s Medicare quality score?
Scott Sherwin, M.D. has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Scott Sherwin, M.D. located?
Scott Sherwin, M.D. is located at 7901 BROADWAY, Elmhurst, NY, 11373. Phone: (646) 634-9388.
What is Scott Sherwin, M.D.'s NPI number?
Scott Sherwin, M.D.'s National Provider Identifier (NPI) is 1295152122, issued on 03/28/2014.
Does Scott Sherwin, M.D. prescribe opioids?
Yes, Scott Sherwin, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Scott Sherwin, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Scott Sherwin, M.D.'s most frequently prescribed drugs include Cefdinir, Amoxicillin-Clavulanate Potass, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Scott Sherwin, M.D. accept Medicare?
Scott Sherwin, M.D. appears in CMS Medicare data with 318 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Sherwin, M.D.'s credentials?
Scott Sherwin, M.D.'s NPI is 1295152122 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

Compiled from official public sources by the PlainDoctor editorial team.