2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1225451974 M.D
Verify on CMS →

Shalini Shetty, M.D

Child & Adolescent Psychiatry Physician in Plano, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 6,160 in Child & Adolescent Psychiatry 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
981
Medicare Part D claims · 49 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.6/100
▼ 9 pts below national avg 83.1 · Mid-tier
Industry payments
$307.39
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Shalini Shetty, M.D reported a CMS MIPS final score of 74.6/100 — below the 83.1 national average — and filed 981 Medicare Part D claims in 2023.

74.6/100
MIPS score · -9 vs avg
981
Part D claims, 2023
96%
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.

Shalini Shetty, 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

75 12th percentile higher than 12% 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

Where Shalini Shetty, M.D sits

This provider among child & adolescent psychiatry physician peers

Across the 332 child & adolescent psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Shalini Shetty, M.D writes more Part D claims than 79% of them and scores higher on MIPS quality than 14% — 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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 90Shalini Shetty, M.D — Part D claim volume — percentile in specialty: 79 · MIPS quality — percentile: 14
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one child & adolescent psychiatry physician peer from a representative sample of 60; the gold marker is Shalini Shetty, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Shalini Shetty, M.D 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 Shalini Shetty, M.D?

Below national average

NPI registry status

Active

Issued 01/31/2014

NPI 1225451974

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

981 64% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

74.6/100 8.5 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Child & Adolescent Psychiatry Physician compares to other specialties among Texas providers

Texas providers

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

Behavior Technician — 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program — 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Professional Counselor — 4.4%Professional Counselor4.4%Pharmacist — 4.4%Pharmacist4.4%Speech-Language Pathologist — 3.9%Speech-Language Pathologist3.9%Child & Adolescent Psychiatry Physician — 0.1%Child & Adolescent Psychiatry Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance — MIPS

Shalini Shetty, M.D's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

Below national average
MIPS Final Score
74.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 74.6/100 vs national avg 83.1

0%100%National avg83%74.6%
MIPS final score (Child & Adolescent Psychiatry Physician) — 74.6/100 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).

Shalini Shetty, M.D appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding M.D credentials at 7308 ALMA DR, Plano, TX, 75025, with a listed phone of (972) 422-5939. NPI 1225451974 was issued on 01/31/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Shetty 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 981 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $103K in drug spend, split 4% brand-name and 96% 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 74.6/100 for the 2023 performance year (Quality 56.1, Cost 59.2), compared with the national average of 83.1.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

7308 ALMA DR
Plano, TX 75025

Provider Details

NPI 1225451974
Specialty Child & Adolescent Psychiatry Physician
Credentials M.D
Gender Female
NPI Issued 01/31/2014

CMS Quality Score (MIPS)

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

74.5984
Final Score
Avg: 83.1
56.1252
Quality
59.2027
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Shalini Shetty, 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.

Collin County Mental Health Mental Retardation Center
McKinney, TX
University OF Texas Southwestern Medical Center AT Dallas
Dallas, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Shalini Shetty, M.D. Source: openpaymentsdata.cms.gov.

Total received

$307

Largest payer

Teva Pharmaceuticals USA, Inc.

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to Shalini Shetty, M.D. To verify Shalini Shetty, M.D's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Shalini Shetty, M.D — brand share 4.0%
Child & Adolescent Psychiatry Physician average

4% brand-name claims vs 96% generic, on 981 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.

981
Total Claims
$103K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,147
Total Day Supply
33,597
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$58K
Generic Drug Cost
$45K

Patient Demographics

Average Patient Age
47.8 years
Avg HCC Risk Score
0.89
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

What Shalini Shetty, 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
Olanzapine
79
Aripiprazole
61
Risperidone
58
Benztropine Mesylate
52
Sertraline Hcl
49
Fluoxetine Hcl
46
Lithium Carbonate
46
Hydroxyzine Hcl
44
Bupropion Hcl Sr
Bupropion Hcl
43
Buspirone Hcl
38

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

Child & Adolescent Psychiatry Physician Overview

How Shalini Shetty, M.D fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

Shalini Shetty, M.D's 981 claims are above the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Texas

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

Compare Child & Adolescent Psychiatry 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 Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Child & Adolescent Psychiatry 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 Shalini Shetty, M.D's specialty?
Shalini Shetty, M.D specializes in Child & Adolescent Psychiatry Physician and practices in Plano, Texas. Credentials: M.D.
How much does Shalini Shetty, M.D prescribe under Medicare Part D?
In 2023, Shalini Shetty, M.D wrote 981 Medicare Part D claims totaling $103K in drug costs for 49 beneficiaries.
What is Shalini Shetty, M.D's Medicare quality score?
Shalini Shetty, M.D has a CMS MIPS Final Score of 74.6/100 (Quality: 56.1, Cost: 59.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shalini Shetty, M.D located?
Shalini Shetty, M.D is located at 7308 ALMA DR, Plano, TX, 75025. Phone: (972) 422-5939.
What is Shalini Shetty, M.D's NPI number?
Shalini Shetty, M.D's National Provider Identifier (NPI) is 1225451974, issued on 01/31/2014.
Does Shalini Shetty, M.D prescribe more brand-name or generic drugs?
Shalini Shetty, M.D's prescribing is 4% brand-name and 96% generic drugs by claim count, with $58K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does Shalini Shetty, M.D prescribe most often?
Based on 2023 Medicare Part D data, Shalini Shetty, M.D's most frequently prescribed drugs include Olanzapine, Aripiprazole, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shalini Shetty, M.D accept Medicare?
Shalini Shetty, M.D appears in CMS Medicare data with 981 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shalini Shetty, M.D's credentials?
Shalini Shetty, M.D's NPI is 1225451974 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.