2026 NPPES data Emergency Medicine Physician NPI 1598836850 M.D.
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SHANE HILL, M.D.

Emergency Medicine Physician in RONAN, Montana. 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
708
Medicare Part D claims · 337 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
10.1916/100
▼ 73 pts below national avg 83.1 · [object Object]

What the federal data shows

SHANE HILL, M.D. reported a CMS MIPS final score of 10.1916/100 — below the 83.1 national average — and filed 708 Medicare Part D claims in 2023.

10.1916/100
MIPS score · -73 vs avg
708
Part D claims, 2023
93%
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.

SHANE HILL, 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

10 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 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. 90–100: 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

Board certification likely (heuristic — not verified)

SHANE HILL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 HILL, M.D.?

Below national average

NPI registry status

Active

Issued 11/10/2006

NPI 1598836850

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

708 101% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

10.1916/100 72.9084% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Montana

How Emergency Medicine Physician compares to other specialties among Montana providers

Montana providers

Emergency Medicine Physician share within Montana

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Montana

Medicare quality performance — MIPS

SHANE HILL, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
10.1916/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 10.1916/100 vs national avg 83.1

0%100%National avg83%10.2%
MIPS final score (Emergency Medicine Physician) — 10.1916/100 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).

SHANE HILL, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 107 6TH AVE SW, RONAN, MT, 59864, with a listed phone of (406) 676-4441. NPI 1598836850 was issued on 11/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILL 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 708 prescription claims written by this provider, covering 337 Medicare beneficiaries and totaling roughly $23K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 3.1%. 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 10.1916/100 for the 2023 performance year (Quality 0, Cost 33.972), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

107 6TH AVE SW
RONAN, MT 59864

Provider Details

NPI 1598836850
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 11/10/2006

CMS Quality Score (MIPS)

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

10.1916
Final Score
Avg: 83.1
0
Quality
33.972
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where SHANE HILL, 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.

MEDNORTH KALISPELL URGENT CARE CLINIC, LLC
KALISPELL, MT

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

Brand vs generic prescribing mix · Generic-heavy

SHANE HILL, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 708 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.

708
Total Claims
$23K
Total Drug Cost
337
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
976
Total Day Supply
18,750
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$14K
Generic Drug Cost
$8K
Opioid Claims
22 (3.1% rate)
Antibiotic Claims
273

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.82
Gender Split
56% female / 44% male
Age Distribution
<65: 18, 65-74: 182, 75-84: 111, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What SHANE HILL, 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
Azithromycin
64
Cephalexin
60
Methylprednisolone
44
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
34
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
32
Meloxicam
29
Amlodipine Besylate
27
Cefdinir
26
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18
Amoxicillin
17

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

Emergency Medicine Physician Overview

How SHANE HILL, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

SHANE HILL, M.D.'s 708 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Montana

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHANE HILL, M.D.'s specialty?
SHANE HILL, M.D. specializes in Emergency Medicine Physician and practices in RONAN, Montana. Credentials: M.D..
How much does SHANE HILL, M.D. prescribe under Medicare Part D?
In 2023, SHANE HILL, M.D. wrote 708 Medicare Part D claims totaling $23K in drug costs for 337 beneficiaries.
What is SHANE HILL, M.D.'s Medicare quality score?
SHANE HILL, M.D. has a CMS MIPS Final Score of 10.1916/100 (Quality: 0, Cost: 33.972). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHANE HILL, M.D. located?
SHANE HILL, M.D. is located at 107 6TH AVE SW, RONAN, MT, 59864. Phone: (406) 676-4441.
What is SHANE HILL, M.D.'s NPI number?
SHANE HILL, M.D.'s National Provider Identifier (NPI) is 1598836850, issued on 11/10/2006.
Does SHANE HILL, M.D. prescribe more brand-name or generic drugs?
SHANE HILL, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $14K in brand drug costs.
Does SHANE HILL, M.D. prescribe opioids?
Yes, SHANE HILL, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does SHANE HILL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SHANE HILL, M.D.'s most frequently prescribed drugs include Azithromycin, Cephalexin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHANE HILL, M.D. accept Medicare?
SHANE HILL, M.D. appears in CMS Medicare data with 708 Part D claims and 337 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHANE HILL, M.D.'s credentials?
SHANE HILL, M.D.'s NPI is 1598836850 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