2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1083736227 MD
Verify on CMS →

SHEELA AHMED, MD

Critical Care Medicine (Internal Medicine) Physician in GREAT FALLS, 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
1K
Medicare Part D claims · 149 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7036/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: SHEELA AHMED, MD is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in GREAT FALLS, Montana with a Medicare Part D prescribing footprint of 1K claims across 149 beneficiaries — 54% brand-name prescribing . Their CMS MIPS Final Score of 76.7036/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SHEELA AHMED, MD reported a CMS MIPS final score of 76.7036 out of 100, below the 83.1 national average, and filed 1,128 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHEELA AHMED, MD 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).

SHEELA AHMED, MD at a glance

Below national average

NPI registry status

Active

Issued 04/06/2007

NPI 1083736227

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,128 6% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

76.7036/100 6.3964% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Montana providers

Montana providers

Critical Care Medicine (Internal Medicine) Physician share within Montana

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

Medicare quality performance — MIPS

SHEELA AHMED, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
76.7036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.7036/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.7036/100 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).

SHEELA AHMED, MD is a Critical Care Medicine (Internal Medicine) Physician provider practicing in GREAT FALLS, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1083736227. 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.

SHEELA AHMED, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 1401 25TH ST S, GREAT FALLS, MT, 59405, with a listed phone of (406) 731-8888. NPI 1083736227 was issued on 04/06/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMED 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 1,128 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $435K in drug spend, split 54% brand-name and 46% 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 76.7036/100 for the 2023 performance year (Quality 55.1936, Cost 54.937), 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

1401 25TH ST S
GREAT FALLS, MT 59405

Provider Details

NPI 1083736227
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 04/06/2007

CMS Quality Score (MIPS)

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

76.7036
Final Score
Avg: 83.1
55.1936
Quality
54.937
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHEELA AHMED, 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.

BENEFIS HOSPITALS INC
★★☆☆☆ 2/5
GREAT FALLS, MT
Acute Care Hospitals
CMS CCN: 270012

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 · Brand-heavy

SHEELA AHMED, MD — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 1,128 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.

1,128
Total Claims
$435K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,405
Total Day Supply
37,635
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$422K
Generic Drug Cost
$13K
Antibiotic Claims
82

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
2.18
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
178
Montelukast Sodium
158
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
156
Prednisone
82
Incruse Ellipta
Umeclidinium Bromide
58
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
54
Fluticasone Propionate
51
Azithromycin
46
Breo Ellipta
Fluticasone/Vilanterol
41
Spiriva Handihaler
Tiotropium Bromide
28

* 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 SHEELA AHMED, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

SHEELA AHMED, MD's 1,128 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Montana

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

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

Frequently Asked Questions

What is SHEELA AHMED, MD's specialty?
SHEELA AHMED, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in GREAT FALLS, Montana. Credentials: MD.
How much does SHEELA AHMED, MD prescribe under Medicare Part D?
In 2023, SHEELA AHMED, MD wrote 1,128 Medicare Part D claims totaling $435K in drug costs for 149 beneficiaries.
What is SHEELA AHMED, MD's Medicare quality score?
SHEELA AHMED, MD has a CMS MIPS Final Score of 76.7036/100 (Quality: 55.1936, Cost: 54.937). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHEELA AHMED, MD located?
SHEELA AHMED, MD is located at 1401 25TH ST S, GREAT FALLS, MT, 59405. Phone: (406) 731-8888.
What is SHEELA AHMED, MD's NPI number?
SHEELA AHMED, MD's National Provider Identifier (NPI) is 1083736227, issued on 04/06/2007.
Does SHEELA AHMED, MD prescribe more brand-name or generic drugs?
SHEELA AHMED, MD's prescribing is 54% brand-name and 46% generic drugs by claim count, with $422K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does SHEELA AHMED, MD prescribe most often?
Based on 2023 Medicare Part D data, SHEELA AHMED, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEELA AHMED, MD accept Medicare?
SHEELA AHMED, MD appears in CMS Medicare data with 1,128 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEELA AHMED, MD's credentials?
SHEELA AHMED, MD's NPI is 1083736227 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.
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