2026 NPPES data Undersea and Hyperbaric Medicine (Preventive Medicine) Physician NPI 1083788285 DO
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SHARON ROONEY-GANDY, DO

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in NILES, Michigan. 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
193
Medicare Part D claims · 77 beneficiaries · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician avg: 522
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$320.53
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHARON ROONEY-GANDY, DO reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 193 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
193
Part D claims, 2023
92%
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.

SHARON ROONEY-GANDY, DO's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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

Board certification likely (heuristic — not verified)

SHARON ROONEY-GANDY, DO 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 SHARON ROONEY-GANDY, DO?

High performer (top quartile)

NPI registry status

Active

Issued 11/20/2006

NPI 1083788285

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

Rare

237 US NPIs in this specialty

Medicare Part D claims

193 63% vs specialty avg

2023 prescription claims

Specialty avg: 522

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How Undersea and Hyperbaric Medicine (Preventive Medicine) Physician compares to other specialties among Michigan providers

Michigan providers

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician share within Michigan

1. Undersea and Hyperbaric Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician share within Michigan

Medicare quality performance — MIPS

SHARON ROONEY-GANDY, DO's 2023 MIPS final score plotted against the Undersea and Hyperbaric Medicine (Preventive Medicine) Physician national average

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

MIPS final score (Undersea and Hyperbaric Medicine (Preventive Medicine) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Undersea and Hyperbaric Medicine (Preventive Medicine) Physician) — 100/100 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).

SHARON ROONEY-GANDY, DO appears in the CMS NPPES registry as a Undersea and Hyperbaric Medicine (Preventive Medicine) Physician provider holding DO credentials at 42 N SAINT JOSEPH AVE STE 103, NILES, MI, 49120, with a listed phone of (269) 683-8528. NPI 1083788285 was issued on 11/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROONEY-GANDY 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 193 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $12K in drug spend, split 8% brand-name and 92% 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 100/100 for the 2023 performance year (Quality 87.5432), compared with the national average of 83.1.

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 237 enrolled providers across 41 states and an average of 522 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

42 N SAINT JOSEPH AVE STE 103
NILES, MI 49120

Provider Details

NPI 1083788285
Specialty Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Credentials DO
Gender Female
NPI Issued 11/20/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
87.5432
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SHARON ROONEY-GANDY, DO 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.

LAKELAND MEDICAL PRACTICES
NILES, MI

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 SHARON ROONEY-GANDY, DO. Source: openpaymentsdata.cms.gov.

Total received

$321

Largest payer

Organogenesis 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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to SHARON ROONEY-GANDY, DO. To verify SHARON ROONEY-GANDY, DO's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SHARON ROONEY-GANDY, DO — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 193 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.

193
Total Claims
$12K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
210
Total Day Supply
3,588
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$7K
Generic Drug Cost
$5K
Antibiotic Claims
133

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
2.96
Gender Split
38% female / 62% male
Age Distribution
<65: 27, 65-74: N/A, 75-84: 21, 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 SHARON ROONEY-GANDY, DO 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
Doxycycline Hyclate
42
Levofloxacin
37
Cephalexin
19
Santyl
Collagenase Clostridium Hist.
16
Clobetasol Propionate
11

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

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Overview

How SHARON ROONEY-GANDY, DO fits within the Undersea and Hyperbaric Medicine (Preventive Medicine) Physician landscape nationally.

237
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Providers in US
41
States with Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
522
Avg Claims per Provider

SHARON ROONEY-GANDY, DO's 193 claims are below the specialty average of 522.

Nearby Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as ROONEY-GANDY.

Compare Undersea and Hyperbaric Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHARON ROONEY-GANDY, DO's specialty?
SHARON ROONEY-GANDY, DO specializes in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician and practices in NILES, Michigan. Credentials: DO.
How much does SHARON ROONEY-GANDY, DO prescribe under Medicare Part D?
In 2023, SHARON ROONEY-GANDY, DO wrote 193 Medicare Part D claims totaling $12K in drug costs for 77 beneficiaries.
What is SHARON ROONEY-GANDY, DO's Medicare quality score?
SHARON ROONEY-GANDY, DO has a CMS MIPS Final Score of 100/100 (Quality: 87.5432). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHARON ROONEY-GANDY, DO located?
SHARON ROONEY-GANDY, DO is located at 42 N SAINT JOSEPH AVE STE 103, NILES, MI, 49120. Phone: (269) 683-8528.
What is SHARON ROONEY-GANDY, DO's NPI number?
SHARON ROONEY-GANDY, DO's National Provider Identifier (NPI) is 1083788285, issued on 11/20/2006.
Does SHARON ROONEY-GANDY, DO prescribe more brand-name or generic drugs?
SHARON ROONEY-GANDY, DO's prescribing is 8% brand-name and 92% generic drugs by claim count, with $7K in brand drug costs.
How many Undersea and Hyperbaric Medicine (Preventive Medicine) Physician providers are there in the US?
There are 237 Undersea and Hyperbaric Medicine (Preventive Medicine) Physician providers across 41 states in the US. The average Undersea and Hyperbaric Medicine (Preventive Medicine) Physician provider writes 522 Medicare Part D claims per year.
What drugs does SHARON ROONEY-GANDY, DO prescribe most often?
Based on 2023 Medicare Part D data, SHARON ROONEY-GANDY, DO's most frequently prescribed drugs include Doxycycline Hyclate, Levofloxacin, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHARON ROONEY-GANDY, DO accept Medicare?
SHARON ROONEY-GANDY, DO appears in CMS Medicare data with 193 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHARON ROONEY-GANDY, DO's credentials?
SHARON ROONEY-GANDY, DO's NPI is 1083788285 with credentials DO. 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