NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1548222516 MD
Verify on CMS → Seth Wheeler, MD
Gastroenterology Physician in Twin Falls, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
656
Medicare Part D claims · 237 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
73.7/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Seth Wheeler, MD reported a CMS MIPS final score of 73.7/100 - below the 83.1 national average - and filed 656 Medicare Part D claims in 2023.
- 73.7/100
- MIPS score · -9 vs avg
- 656
- 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.
Seth Wheeler, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
74 11th percentile higher than 11% 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
Where Seth Wheeler, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Seth Wheeler, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 11% - placing this provider in the lower-volume, lower-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
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Seth Wheeler, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Seth Wheeler, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Seth Wheeler, MD?
Below national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
656 21% vs specialty avg
MIPS final score
73.7/100 9.4 pts vs avg
Specialty distribution in Idaho
How Gastroenterology Physician compares to other specialties among Idaho providers
Medicare quality performance, MIPS
Seth Wheeler, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 73.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 73.7/100 vs national avg 83.1
How MIPS and board certification work
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).
Seth Wheeler, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 775 POLE LINE RD W, Twin Falls, ID, 83301, with a listed phone of (208) 814-8300. NPI 1548222516 was issued on 04/05/2006.
Medicare Part D records for calendar year 2023 show 656 prescription claims written by this provider, covering 237 Medicare beneficiaries and totaling roughly $459K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.7/100 for the 2023 performance year (Quality 78.5, Cost 33.9), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1548222516 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.7342
Final Score
Avg: 83.1
78.5134
Quality
33.9339
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Seth Wheeler, MD 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 Lukes Clinic - Wood River LLC
Ketchum, ID
St Lukes Clinic LLC
Twin Falls, ID
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
656
Total Claims
$459K
Total Drug Cost
237
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,156
- Total Day Supply
- 31,552
- Generic Drug Cost
- $62K
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 26, 65-74: 121, 75-84: 77, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Seth Wheeler, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
159 claims
- Pantoprazole Sodium
Pantoprazole Sodium
69 claims
- Clenpiq 38
Clenpiq
38 claims
- Budesonide Ec 30
Budesonide Ec
30 claims
- Linzess 28
Linzess
28 claims
- Ursodiol 27
Ursodiol
27 claims
- Budesonide Dr 21
Budesonide Dr
21 claims
- Nadolol 13
Nadolol
13 claims
| Drug | Claims |
|---|---|
| Omeprazole | 159 |
| Pantoprazole Sodium | 69 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 38 |
| Budesonide Ec Budesonide | 30 |
| Linzess Linaclotide | 28 |
| Ursodiol | 27 |
| Budesonide Dr Budesonide | 21 |
| Nadolol | 13 |
| Relistor Methylnaltrexone Bromide | 12 |
| Sucraid Sacrosidase | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Seth Wheeler, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Seth Wheeler, MD's 656 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as Wheeler.
Dr. Paul Baehr
M.D.
Boise, ID
Dr. Clint Behrend
M.D.
Idaho Falls, ID
Dr. Hadi Bhurgri
MD
Ketchum, ID
Dr. Theodore Bohlman
M.D.
Meridian, ID
Dr. Bryan Brimhall
M.D.
Boise, ID
Compare Gastroenterology 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 Idaho medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Idaho
Frequently Asked Questions
What is Seth Wheeler, MD's specialty? ▼
Seth Wheeler, MD specializes in Gastroenterology Physician and practices in Twin Falls, Idaho. Credentials: MD.
How much does Seth Wheeler, MD prescribe under Medicare Part D? ▼
In 2023, Seth Wheeler, MD wrote 656 Medicare Part D claims totaling $459K in drug costs for 237 beneficiaries.
What is Seth Wheeler, MD's Medicare quality score? ▼
Seth Wheeler, MD has a CMS MIPS Final Score of 73.7/100 (Quality: 78.5, Cost: 33.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Seth Wheeler, MD located? ▼
Seth Wheeler, MD is located at 775 POLE LINE RD W, Twin Falls, ID, 83301. Phone: (208) 814-8300.
What is Seth Wheeler, MD's NPI number? ▼
Seth Wheeler, MD's National Provider Identifier (NPI) is 1548222516, issued on 04/05/2006.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Seth Wheeler, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Seth Wheeler, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Clenpiq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Seth Wheeler, MD accept Medicare? ▼
Seth Wheeler, MD appears in CMS Medicare data with 656 Part D claims and 237 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Seth Wheeler, MD's credentials? ▼
Seth Wheeler, MD's NPI is 1548222516 with credentials MD. 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
View source datasets and methodology notes
- 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.