2026 NPPES data Specialist NPI 1912965500 M.D.
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Shailee Madhok, M.D.

Specialist in Kingsport, Tennessee. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, 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
3K
Medicare Part D claims · 442 beneficiaries · Specialist avg: 1K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
26.8/100
▼ 56 pts below national avg 83.1 · Below average
Industry payments
$2.2K
119 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Shailee Madhok, M.D. reported a CMS MIPS final score of 26.8/100 - below the 83.1 national average - and filed 2,904 Medicare Part D claims in 2023.

26.8/100
MIPS score · -56 vs avg
3K
Part D claims, 2023
66%
generic prescribing
$2.2K
industry payments (Sunshine Act)

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.

Shailee Madhok, 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

27 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Shailee Madhok, M.D. sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Shailee Madhok, M.D. writes more Part D claims than 80% of them and scores higher on MIPS quality than 12% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 62Shailee Madhok, M.D.-Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Shailee Madhok, M.D.?

Below national average

NPI registry status

Active

Issued 05/03/2006

NPI 1912965500

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

2,904 97% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

26.8/100 56.3 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Tennessee

How Specialist compares to other specialties among Tennessee providers

Tennessee providers

Largest specialties in Tennessee (% of in-state providers)

Family Nurse Practitioner - 6.4%Family Nurse Practitioner6.4%Pharmacist - 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program - 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist - 4.2%Physical Therapist4.2%Behavior Technician - 4.2%Behavior Technician4.2%Registered Nurse - 3.9%Registered Nurse3.9%Specialist - 0.8%Specialist0.8%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

Shailee Madhok, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
26.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 26.8/100 vs national avg 83.1

0%100%National avg83%26.8%
MIPS final score (Specialist) - 26.8/100 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).

Shailee Madhok, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at #8 SHERIDAN SQUARE, Kingsport, TN, 37660, with a listed phone of (423) 246-6445. NPI 1912965500 was issued on 05/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Madhok 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 2,904 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 34% brand-name and 66% 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 26.8/100 for the 2023 performance year (Quality 0, Cost 89.3), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

#8 SHERIDAN SQUARE
Kingsport, TN 37660

Provider Details

NPI 1912965500
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 05/03/2006

CMS Quality Score (MIPS)

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

26.7813
Final Score
Avg: 83.1
0
Quality
89.271
Cost

Reporting: Individual

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Shailee Madhok, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.2K

Largest payer

GlaxoSmithKline, LLC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

Shailee Madhok, M.D. - brand share 34.0%
Specialist average

34% brand-name claims vs 66% generic, on 2,904 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.

2,904
Total Claims
$1.4M
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,470
Total Day Supply
126,356
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$58K
Antibiotic Claims
159

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.38
Gender Split
71% female / 29% male
Age Distribution
<65: 112, 65-74: 199, 75-84: 116, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What Shailee Madhok, 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
Montelukast Sodium
552
Fluticasone Propionate
221
Albuterol Sulfate Hfa
Albuterol Sulfate
187
Levocetirizine Dihydrochloride
182
Azelastine Hcl
176
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
134
Symbicort
Budesonide/Formoterol Fumarate
113
Epinephrine
112
Dupixent Syringe
Dupilumab
97
Breo Ellipta
Fluticasone/Vilanterol
88

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

Specialist Overview

How Shailee Madhok, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Shailee Madhok, M.D.'s 2,904 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Tennessee

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

Compare Specialist 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist 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 Shailee Madhok, M.D.'s specialty?
Shailee Madhok, M.D. specializes in Specialist and practices in Kingsport, Tennessee. Credentials: M.D..
How much does Shailee Madhok, M.D. prescribe under Medicare Part D?
In 2023, Shailee Madhok, M.D. wrote 2,904 Medicare Part D claims totaling $1.4M in drug costs for 442 beneficiaries.
What is Shailee Madhok, M.D.'s Medicare quality score?
Shailee Madhok, M.D. has a CMS MIPS Final Score of 26.8/100 (Quality: 0, Cost: 89.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shailee Madhok, M.D. located?
Shailee Madhok, M.D. is located at #8 SHERIDAN SQUARE, Kingsport, TN, 37660. Phone: (423) 246-6445.
What is Shailee Madhok, M.D.'s NPI number?
Shailee Madhok, M.D.'s National Provider Identifier (NPI) is 1912965500, issued on 05/03/2006.
Does Shailee Madhok, M.D. prescribe more brand-name or generic drugs?
Shailee Madhok, M.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $1.3M in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Shailee Madhok, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Shailee Madhok, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shailee Madhok, M.D. accept Medicare?
Shailee Madhok, M.D. appears in CMS Medicare data with 2,904 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shailee Madhok, M.D.'s credentials?
Shailee Madhok, M.D.'s NPI is 1912965500 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.