2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1578829230 M.D.
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SHANE CREADO, M.D.

Sleep Medicine (Internal Medicine) Physician in MADISON, Wisconsin. 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
121
Medicare Part D claims · 30 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Industry payments
$378.4
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHANE CREADO, M.D. filed 121 Medicare Part D claims in 2023 as a Sleep Medicine (Internal Medicine) Physician in MADISON, Wisconsin.

121
Part D claims, 2023
$378.4
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.

SHANE CREADO, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

121 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

SHANE CREADO, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SHANE CREADO, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/07/2012

NPI 1578829230

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

121 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

Specialty distribution in Wisconsin

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Sleep Medicine (Internal Medicine) Physician share within Wisconsin

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

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).

SHANE CREADO, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding M.D. credentials at 2727 MARSHALL CT, MADISON, WI, 53705, with a listed phone of (608) 238-9354. NPI 1578829230 was issued on 04/07/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CREADO 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 121 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $5K 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.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

2727 MARSHALL CT
MADISON, WI 53705

Provider Details

NPI 1578829230
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/07/2012

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 SHANE CREADO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$378

Largest payer

Tempus AI, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

121
Total Claims
$5K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
180
Total Day Supply
5,417
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
0.95
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What SHANE CREADO, 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
Ziprasidone Hcl
19
Lamotrigine
17
Desvenlafaxine Succinate Er
Desvenlafaxine Succinate
15
Oxcarbazepine
15
Gabapentin
13

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

Sleep Medicine (Internal Medicine) Physician Overview

How SHANE CREADO, M.D. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

SHANE CREADO, M.D.'s 121 claims are below the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Wisconsin

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

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHANE CREADO, M.D.'s specialty?
SHANE CREADO, M.D. specializes in Sleep Medicine (Internal Medicine) Physician and practices in MADISON, Wisconsin. Credentials: M.D..
How much does SHANE CREADO, M.D. prescribe under Medicare Part D?
In 2023, SHANE CREADO, M.D. wrote 121 Medicare Part D claims totaling $5K in drug costs for 30 beneficiaries.
Where is SHANE CREADO, M.D. located?
SHANE CREADO, M.D. is located at 2727 MARSHALL CT, MADISON, WI, 53705. Phone: (608) 238-9354.
What is SHANE CREADO, M.D.'s NPI number?
SHANE CREADO, M.D.'s National Provider Identifier (NPI) is 1578829230, issued on 04/07/2012.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does SHANE CREADO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHANE CREADO, M.D.'s most frequently prescribed drugs include Ziprasidone Hcl, Lamotrigine, Desvenlafaxine Succinate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHANE CREADO, M.D. accept Medicare?
SHANE CREADO, M.D. appears in CMS Medicare data with 121 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHANE CREADO, M.D.'s credentials?
SHANE CREADO, M.D.'s NPI is 1578829230 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.
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