2026 NPPES data Perinatal Registered Nurse NPI 1487262275 NP
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Sheila Madgedi, NP

Perinatal Registered Nurse in San Diego, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 158 in Perinatal Registered Nurse, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 471 beneficiaries · Perinatal Registered Nurse avg: 506
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$724.24
31 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sheila Madgedi, NP filed 2,341 Medicare Part D claims in 2023 as a Perinatal Registered Nurse in San Diego, California, prescribing 87% generic.

2K
Part D claims, 2023
87%
generic prescribing
$724.24
industry payments (Sunshine Act)

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.

Sheila Madgedi, NP's Medicare Part D volume vs every U.S. prescriber

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

2,341 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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

What does the federal data show about Sheila Madgedi, NP?

Quality data not reported

NPI registry status

Active

Issued 07/17/2020

NPI 1487262275

Primary specialty

Perinatal Registered Nurse

Rare

158 US NPIs in this specialty

Medicare Part D claims

2,341 363% vs specialty avg

2023 prescription claims

Specialty avg: 506

Specialty distribution in California

How Perinatal Registered Nurse compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Perinatal Registered Nurse - 0%Perinatal Registered Nurse0%
Largest specialties in California (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Perinatal Registered Nurse. Verify directly:

How MIPS and board certification work

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).

Sheila Madgedi, NP appears in the CMS NPPES registry as a Perinatal Registered Nurse provider holding NP credentials at 4282 GENESEE AVE, San Diego, CA, 92117, with a listed phone of (619) 447-2425. NPI 1487262275 was issued on 07/17/2020.

Medicare Part D records for calendar year 2023 show 2,341 prescription claims written by this provider, covering 471 Medicare beneficiaries and totaling roughly $204K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.5%.

Perinatal Registered Nurse is a narrow specialty nationwide, with 158 enrolled providers across 35 states and an average of 506 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

4282 GENESEE AVE
San Diego, CA 92117

Provider Details

NPI 1487262275
Specialty Perinatal Registered Nurse
Credentials NP
Gender Female
NPI Issued 07/17/2020

Hospital and facility affiliations

Facilities where Sheila Madgedi, NP 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.

Elahe Toulouie, MD, Inc
El Cajon, CA

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 Sheila Madgedi, NP. Source: openpaymentsdata.cms.gov.

Total received

$724

Largest payer

AstraZeneca Pharmaceuticals LP

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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Sheila Madgedi, NP. To verify Sheila Madgedi, NP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Sheila Madgedi, NP - brand share 13.0%
Perinatal Registered Nurse average

13% brand-name claims vs 87% generic, on 2,341 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.

2,341
Total Claims
$204K
Total Drug Cost
471
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,035
Total Day Supply
114,911
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$169K
Generic Drug Cost
$34K
Opioid Claims
81 (3.5% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.60
Gender Split
66% female / 34% male
Age Distribution
<65: 64, 65-74: 239, 75-84: 128, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What Sheila Madgedi, NP 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
Amlodipine Besylate
171
Atorvastatin Calcium
139
Lisinopril
131
Levothyroxine Sodium
78
Albuterol Sulfate Hfa
Albuterol Sulfate
68
Trazodone Hcl
68
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
52
Metformin Hcl
52
Fluticasone Propionate
50
Losartan Potassium
50

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

Perinatal Registered Nurse Overview

How Sheila Madgedi, NP fits within the Perinatal Registered Nurse landscape nationally.

158
Perinatal Registered Nurse Providers in US
35
States with Perinatal Registered Nurse
506
Avg Claims per Provider

Sheila Madgedi, NP's 2,341 claims are above the specialty average of 506.

Nearby Perinatal Registered Nurse Providers in California

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

Compare Perinatal Registered Nurse nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Perinatal Registered Nurse peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Sheila Madgedi, NP's specialty?
Sheila Madgedi, NP specializes in Perinatal Registered Nurse and practices in San Diego, California. Credentials: NP.
How much does Sheila Madgedi, NP prescribe under Medicare Part D?
In 2023, Sheila Madgedi, NP wrote 2,341 Medicare Part D claims totaling $204K in drug costs for 471 beneficiaries.
Where is Sheila Madgedi, NP located?
Sheila Madgedi, NP is located at 4282 GENESEE AVE, San Diego, CA, 92117. Phone: (619) 447-2425.
What is Sheila Madgedi, NP's NPI number?
Sheila Madgedi, NP's National Provider Identifier (NPI) is 1487262275, issued on 07/17/2020.
Does Sheila Madgedi, NP prescribe more brand-name or generic drugs?
Sheila Madgedi, NP's prescribing is 13% brand-name and 87% generic drugs by claim count, with $169K in brand drug costs.
Does Sheila Madgedi, NP prescribe opioids?
Yes, Sheila Madgedi, NP had 81 opioid claims in 2023 with an opioid prescribing rate of 3.5%.
How many Perinatal Registered Nurse providers are there in the US?
There are 158 Perinatal Registered Nurse providers across 35 states in the US. The average Perinatal Registered Nurse provider writes 506 Medicare Part D claims per year.
What drugs does Sheila Madgedi, NP prescribe most often?
Based on 2023 Medicare Part D data, Sheila Madgedi, NP's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sheila Madgedi, NP accept Medicare?
Sheila Madgedi, NP appears in CMS Medicare data with 2,341 Part D claims and 471 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sheila Madgedi, NP's credentials?
Sheila Madgedi, NP's NPI is 1487262275 with credentials NP. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.