2026 NPPES data Emergency Medicine Physician NPI 1326402413 DO
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SHAILA DELEA, DO

Emergency Medicine Physician in BIDDEFORD, Maine. 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
188
Medicare Part D claims · 106 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1296/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: SHAILA DELEA, DO is a Emergency Medicine Physician ([object Object]) practicing in BIDDEFORD, Maine with a Medicare Part D prescribing footprint of 188 claims across 106 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 73.1296/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

SHAILA DELEA, DO reported a CMS MIPS final score of 73.1296/100 — below the 83.1 national average — and filed 188 Medicare Part D claims in 2023.

73.1296/100
MIPS score · -10 vs avg
188
Part D claims, 2023
64%
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.

SHAILA DELEA, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

SHAILA DELEA, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHAILA DELEA, DO at a glance

Below national average

NPI registry status

Active

Issued 04/05/2016

NPI 1326402413

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

188 47% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

73.1296/100 9.970399999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maine

How Emergency Medicine Physician compares to other specialties among Maine providers

Maine providers

Emergency Medicine Physician share within Maine

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Maine

Medicare quality performance — MIPS

SHAILA DELEA, DO's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
73.1296/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 73.1296/100 vs national avg 83.1

0%100%National avg83%73.1%
MIPS final score (Emergency Medicine Physician) — 73.1296/100 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).

SHAILA DELEA, DO is a Emergency Medicine Physician provider practicing in BIDDEFORD, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1326402413. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SHAILA DELEA, DO appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding DO credentials at 1 MEDICAL CENTER DR, BIDDEFORD, ME, 04005, with a listed phone of (207) 294-5000. NPI 1326402413 was issued on 04/05/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DELEA 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 188 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $3K in drug spend, split 36% brand-name and 64% 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 73.1296/100 for the 2023 performance year (Quality 69.6371, Cost 49.4306), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1 MEDICAL CENTER DR
BIDDEFORD, ME 04005

Provider Details

NPI 1326402413
Specialty Emergency Medicine Physician
Credentials DO
Gender Female
NPI Issued 04/05/2016

CMS Quality Score (MIPS)

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

73.1296
Final Score
Avg: 83.1
69.6371
Quality
49.4306
Cost

Reporting: Group practice

Brand vs generic prescribing mix · Above average

SHAILA DELEA, DO — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 188 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.

188
Total Claims
$3K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
192
Total Day Supply
880
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$2K
Generic Drug Cost
$1K
Antibiotic Claims
42

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
1.93
Gender Split
58% female / 42% male
Age Distribution
<65: 32, 65-74: 32, 75-84: 30, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
Ondansetron Hcl/Pf
20
Lactated Ringers
"Ringer's Solution
N/A

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

Emergency Medicine Physician Overview

How SHAILA DELEA, DO fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

SHAILA DELEA, DO's 188 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Maine

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAILA DELEA, DO's specialty?
SHAILA DELEA, DO specializes in Emergency Medicine Physician and practices in BIDDEFORD, Maine. Credentials: DO.
How much does SHAILA DELEA, DO prescribe under Medicare Part D?
In 2023, SHAILA DELEA, DO wrote 188 Medicare Part D claims totaling $3K in drug costs for 106 beneficiaries.
What is SHAILA DELEA, DO's Medicare quality score?
SHAILA DELEA, DO has a CMS MIPS Final Score of 73.1296/100 (Quality: 69.6371, Cost: 49.4306). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAILA DELEA, DO located?
SHAILA DELEA, DO is located at 1 MEDICAL CENTER DR, BIDDEFORD, ME, 04005. Phone: (207) 294-5000.
What is SHAILA DELEA, DO's NPI number?
SHAILA DELEA, DO's National Provider Identifier (NPI) is 1326402413, issued on 04/05/2016.
Does SHAILA DELEA, DO prescribe more brand-name or generic drugs?
SHAILA DELEA, DO's prescribing is 36% brand-name and 64% generic drugs by claim count, with $2K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does SHAILA DELEA, DO prescribe most often?
Based on 2023 Medicare Part D data, SHAILA DELEA, DO's most frequently prescribed drugs include Ondansetron Hcl, Lactated Ringers. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAILA DELEA, DO accept Medicare?
SHAILA DELEA, DO appears in CMS Medicare data with 188 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAILA DELEA, DO's credentials?
SHAILA DELEA, DO's NPI is 1326402413 with credentials DO. 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