2026 NPPES data Adult Health Nurse Practitioner NPI 1255094603 NP
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SHAMA SHEIKH, NP

Adult Health Nurse Practitioner in BURLINGTON, Massachusetts. 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
124
Medicare Part D claims · 43 beneficiaries · Adult Health Nurse Practitioner avg: 1K
MIPS score
91.4157/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

SHAMA SHEIKH, NP reported a CMS MIPS final score of 91.4157/100 — above the 83.1 national average — and filed 124 Medicare Part D claims in 2023.

91.4157/100
MIPS score · +8 vs avg
124
Part D claims, 2023

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.

SHAMA SHEIKH, NP's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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. 90–100: 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

What does the federal data show about SHAMA SHEIKH, NP?

High performer (top quartile)

NPI registry status

Active

Issued 10/21/2021

NPI 1255094603

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

124 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

91.4157/100 8.315700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Adult Health Nurse Practitioner compares to other specialties among Massachusetts providers

Massachusetts providers

Adult Health Nurse Practitioner share within Massachusetts

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Massachusetts

Medicare quality performance — MIPS

SHAMA SHEIKH, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.4157/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 91.4157/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Adult Health Nurse Practitioner) — 91.4157/100 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).

SHAMA SHEIKH, NP appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP credentials at 41 MALL RD, BURLINGTON, MA, 01805, with a listed phone of (781) 744-8580. NPI 1255094603 was issued on 10/21/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEIKH 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 124 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $8K in drug spend. 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 91.4157/100 for the 2023 performance year (Quality 76.877), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

41 MALL RD
BURLINGTON, MA 01805

Provider Details

NPI 1255094603
Specialty Adult Health Nurse Practitioner
Credentials NP
Gender Female
NPI Issued 10/21/2021

CMS Quality Score (MIPS)

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

91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SHAMA SHEIKH, NP 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.

LAHEY CLINIC INC
BURLINGTON, MA

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to SHAMA SHEIKH, NP. To verify SHAMA SHEIKH, NP's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts 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.

124
Total Claims
$8K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
239
Total Day Supply
6,441
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
61.5 years
Avg HCC Risk Score
1.23
Age Distribution
<65: 19, 65-74: 21, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What SHAMA SHEIKH, NP 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
Omeprazole
49
Ursodiol
19
Famotidine
18
Scopolamine
14

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

Adult Health Nurse Practitioner Overview

How SHAMA SHEIKH, NP fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

SHAMA SHEIKH, NP's 124 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Massachusetts

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHAMA SHEIKH, NP's specialty?
SHAMA SHEIKH, NP specializes in Adult Health Nurse Practitioner and practices in BURLINGTON, Massachusetts. Credentials: NP.
How much does SHAMA SHEIKH, NP prescribe under Medicare Part D?
In 2023, SHAMA SHEIKH, NP wrote 124 Medicare Part D claims totaling $8K in drug costs for 43 beneficiaries.
What is SHAMA SHEIKH, NP's Medicare quality score?
SHAMA SHEIKH, NP has a CMS MIPS Final Score of 91.4157/100 (Quality: 76.877). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHAMA SHEIKH, NP located?
SHAMA SHEIKH, NP is located at 41 MALL RD, BURLINGTON, MA, 01805. Phone: (781) 744-8580.
What is SHAMA SHEIKH, NP's NPI number?
SHAMA SHEIKH, NP's National Provider Identifier (NPI) is 1255094603, issued on 10/21/2021.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does SHAMA SHEIKH, NP prescribe most often?
Based on 2023 Medicare Part D data, SHAMA SHEIKH, NP's most frequently prescribed drugs include Omeprazole, Ursodiol, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHAMA SHEIKH, NP accept Medicare?
SHAMA SHEIKH, NP appears in CMS Medicare data with 124 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHAMA SHEIKH, NP's credentials?
SHAMA SHEIKH, NP's NPI is 1255094603 with credentials NP. 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