2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1073786521 MD
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SHANE GAILUSHAS, MD

Otolaryngology/Facial Plastic Surgery Physician in CEDAR RAPIDS, Iowa. 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
831
Medicare Part D claims · 238 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
Industry payments
$820.12
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHANE GAILUSHAS, MD filed 831 Medicare Part D claims in 2023 as a Otolaryngology/Facial Plastic Surgery Physician in CEDAR RAPIDS, Iowa.

831
Part D claims, 2023
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.

SHANE GAILUSHAS, MD's Medicare Part D volume vs every U.S. prescriber

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

831 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 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 certification likely (heuristic — not verified)

SHANE GAILUSHAS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 SHANE GAILUSHAS, MD?

Quality data not reported

NPI registry status

Active

Issued 04/04/2008

NPI 1073786521

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

831 48% vs specialty avg

2023 prescription claims

Specialty avg: 561

Specialty distribution in Iowa

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among Iowa providers

Iowa providers

Otolaryngology/Facial Plastic Surgery Physician share within Iowa

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within Iowa

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology/Facial Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology/Facial Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology/Facial Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology/Facial Plastic Surgery 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 GAILUSHAS, MD is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in CEDAR RAPIDS, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1073786521. 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.

SHANE GAILUSHAS, MD appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding MD credentials at MERCY EAR NOSE AND THROAT CLINIC, CEDAR RAPIDS, IA, 52401, with a listed phone of (319) 398-6900. NPI 1073786521 was issued on 04/04/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAILUSHAS 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 831 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $19K in drug spend, with an opioid prescribing rate of 6.9%. 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.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

MERCY EAR NOSE AND THROAT CLINIC
CEDAR RAPIDS, IA 52401

Provider Details

NPI 1073786521
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/04/2008

Hospital and facility affiliations

Facilities where SHANE GAILUSHAS, MD 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.

MERCY MEDICAL CENTER
CEDAR RAPIDS, IA

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 SHANE GAILUSHAS, MD. Source: openpaymentsdata.cms.gov.

Total received

$820

Largest payer

Integra LifeSciences Corporation

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.

831
Total Claims
$19K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,247
Total Day Supply
31,362
Generic Drug Cost
$18K
Opioid Claims
57 (6.9% rate)
Antibiotic Claims
143

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.25
Gender Split
54% female / 46% male
Age Distribution
<65: 26, 65-74: 122, 75-84: 68, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azelastine Hcl
274
Fluticasone Propionate
109
Ipratropium Bromide
76
Oxycodone Hcl
42
Azithromycin
40
Montelukast Sodium
32
Prednisone
31
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
30
Mupirocin
20
Omeprazole
20

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How SHANE GAILUSHAS, MD fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

SHANE GAILUSHAS, MD's 831 claims are above the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in Iowa

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

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHANE GAILUSHAS, MD's specialty?
SHANE GAILUSHAS, MD specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in CEDAR RAPIDS, Iowa. Credentials: MD.
How much does SHANE GAILUSHAS, MD prescribe under Medicare Part D?
In 2023, SHANE GAILUSHAS, MD wrote 831 Medicare Part D claims totaling $19K in drug costs for 238 beneficiaries.
Where is SHANE GAILUSHAS, MD located?
SHANE GAILUSHAS, MD is located at MERCY EAR NOSE AND THROAT CLINIC, CEDAR RAPIDS, IA, 52401. Phone: (319) 398-6900.
What is SHANE GAILUSHAS, MD's NPI number?
SHANE GAILUSHAS, MD's National Provider Identifier (NPI) is 1073786521, issued on 04/04/2008.
Does SHANE GAILUSHAS, MD prescribe opioids?
Yes, SHANE GAILUSHAS, MD had 57 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does SHANE GAILUSHAS, MD prescribe most often?
Based on 2023 Medicare Part D data, SHANE GAILUSHAS, MD's most frequently prescribed drugs include Azelastine Hcl, Fluticasone Propionate, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHANE GAILUSHAS, MD accept Medicare?
SHANE GAILUSHAS, MD appears in CMS Medicare data with 831 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHANE GAILUSHAS, MD's credentials?
SHANE GAILUSHAS, MD's NPI is 1073786521 with credentials MD. 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