2026 NPPES data Rheumatology Physician NPI 1922635242 MD
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SHEELA SHETH, MD

Rheumatology Physician in COVINGTON, Georgia. 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
172
Medicare Part D claims · 17 beneficiaries · Rheumatology Physician avg: 2K

What the federal data shows

SHEELA SHETH, MD filed 172 Medicare Part D claims in 2023 as a Rheumatology Physician in COVINGTON, Georgia.

172
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.

SHEELA SHETH, MD's Medicare Part D volume vs every U.S. prescriber

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

172 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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)

SHEELA SHETH, 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 SHEELA SHETH, MD?

Quality data not reported

NPI registry status

Active

Issued 03/25/2020

NPI 1922635242

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

172 92% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Georgia

How Rheumatology Physician compares to other specialties among Georgia providers

Georgia providers

Rheumatology Physician share within Georgia

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology 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).

SHEELA SHETH, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 4181 HOSPITAL DR NE STE 204, COVINGTON, GA, 30014, with a listed phone of (678) 342-8673. NPI 1922635242 was issued on 03/25/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHETH 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 172 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $33K in drug spend. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

4181 HOSPITAL DR NE STE 204
COVINGTON, GA 30014

Provider Details

NPI 1922635242
Specialty Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 03/25/2020

Hospital and facility affiliations

Facilities where SHEELA SHETH, 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.

PIEDMONT PROVIDERS LLC
COVINGTON, GA

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

172
Total Claims
$33K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
358
Total Day Supply
10,375
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
2.31

Top Prescribed Drugs (Medicare Part D)

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

What SHEELA SHETH, MD 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
Gabapentin
12
Amlodipine Besylate
11
Atorvastatin Calcium
11

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

Rheumatology Physician Overview

How SHEELA SHETH, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

SHEELA SHETH, MD's 172 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Georgia

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHEELA SHETH, MD's specialty?
SHEELA SHETH, MD specializes in Rheumatology Physician and practices in COVINGTON, Georgia. Credentials: MD.
How much does SHEELA SHETH, MD prescribe under Medicare Part D?
In 2023, SHEELA SHETH, MD wrote 172 Medicare Part D claims totaling $33K in drug costs for 17 beneficiaries.
Where is SHEELA SHETH, MD located?
SHEELA SHETH, MD is located at 4181 HOSPITAL DR NE STE 204, COVINGTON, GA, 30014. Phone: (678) 342-8673.
What is SHEELA SHETH, MD's NPI number?
SHEELA SHETH, MD's National Provider Identifier (NPI) is 1922635242, issued on 03/25/2020.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does SHEELA SHETH, MD prescribe most often?
Based on 2023 Medicare Part D data, SHEELA SHETH, MD's most frequently prescribed drugs include Gabapentin, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEELA SHETH, MD accept Medicare?
SHEELA SHETH, MD appears in CMS Medicare data with 172 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEELA SHETH, MD's credentials?
SHEELA SHETH, MD's NPI is 1922635242 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