SHAWN MCLANE, M.D.
Critical Care Medicine (Internal Medicine) Physician in RICHMOND, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
SHAWN MCLANE, M.D. reported a CMS MIPS final score of 76.5063/100 — below the 83.1 national average — and filed 3,482 Medicare Part D claims in 2023.
- 76.5063/100
- MIPS score · -7 vs avg
- 3K
- Part D claims, 2023
- 43%
- 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.
SHAWN MCLANE, 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
77 21st percentile higher than 21% of 477,587 scored providers
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
SHAWN MCLANE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 SHAWN MCLANE, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Virginia
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Virginia providers
Critical Care Medicine (Internal Medicine) Physician share within Virginia
Critical Care Medicine (Internal Medicine) Physician is one of the more visible NUCC categories in Virginia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
SHAWN MCLANE, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 76.5063/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.5063/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Critical Care Medicine (Internal Medicine) Physician US NPIs
76.5063/100 MIPS final score — 6.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Critical Care Medicine (Internal Medicine) Physician. Quality dim: 67.3173. Cost dim: 56.8703.
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).
SHAWN MCLANE, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 6600 W BROAD ST STE 300, RICHMOND, VA, 23230, with a listed phone of (804) 320-4243. NPI 1194741959 was issued on 07/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCLANE 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 3,482 prescription claims written by this provider, covering 607 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 57% brand-name and 43% generic by claim count, with an opioid prescribing rate of 0.4%. 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 76.5063/100 for the 2023 performance year (Quality 67.3173, Cost 56.8703), compared with the national average of 83.1.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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
Provider Details
| NPI | 1194741959 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/14/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SHAWN MCLANE, M.D.'s current license status, disciplinary history, and board certifications with the Virginia Board of Medicine in Virginia before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 SHAWN MCLANE, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$64
Largest payer
GENZYME 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.
Brand vs generic prescribing mix · Brand-heavy
57% brand-name claims vs 43% generic, on 3,482 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.
Prescribing Breakdown
- 30-Day Fills
- 4,352
- Total Day Supply
- 110,359
- Brand vs Generic
- 57% brand / 43% generic
- Brand Drug Cost
- $1.2M
- Opioid Claims
- 13 (0.4% rate)
- Antibiotic Claims
- 384
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 57, 65-74: 245, 75-84: 232, 85+: 73
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What SHAWN MCLANE, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
557 claims
- Trelegy Ellipta
Trelegy Ellipta
519 claims
- Prednisone
Prednisone
479 claims
- Symbicort 176
Symbicort
176 claims
- Breo Ellipta 175
Breo Ellipta
175 claims
- Montelukast Sodium 151
Montelukast Sodium
151 claims
- Azithromycin 145
Azithromycin
145 claims
- Spiriva Respimat 121
Spiriva Respimat
121 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 557 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 519 |
| Prednisone | 479 |
| Symbicort Budesonide/Formoterol Fumarate | 176 |
| Breo Ellipta Fluticasone/Vilanterol | 175 |
| Montelukast Sodium | 151 |
| Azithromycin | 145 |
| Spiriva Respimat Tiotropium Bromide | 121 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 95 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 84 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Critical Care Medicine (Internal Medicine) Physician Overview
How SHAWN MCLANE, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
SHAWN MCLANE, M.D.'s 3,482 claims are above the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as MCLANE.
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Frequently Asked Questions
What is SHAWN MCLANE, M.D.'s specialty? ▼
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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