2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1699885483 MD
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SHELDON HERSH, MD

Otolaryngology/Facial Plastic Surgery Physician in FOREST HILLS, New York. 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
205
Medicare Part D claims · 99 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 561
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$182
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHELDON HERSH, MD reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 205 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
205
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.

SHELDON HERSH, MD's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

SHELDON HERSH, MD 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 SHELDON HERSH, MD?

Below national average

NPI registry status

Active

Issued 08/30/2006

NPI 1699885483

Primary specialty

Otolaryngology/Facial Plastic Surgery Physician

Niche

744 US NPIs in this specialty

Medicare Part D claims

205 63% vs specialty avg

2023 prescription claims

Specialty avg: 561

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New York

How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among New York providers

New York providers

Otolaryngology/Facial Plastic Surgery Physician share within New York

1. Otolaryngology/Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology/Facial Plastic Surgery Physician share within New York

Medicare quality performance — MIPS

SHELDON HERSH, MD's 2023 MIPS final score plotted against the Otolaryngology/Facial Plastic Surgery Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Otolaryngology/Facial Plastic Surgery Physician) — 0/100 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).

SHELDON HERSH, MD is a Otolaryngology/Facial Plastic Surgery Physician provider practicing in FOREST HILLS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1699885483. 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.

SHELDON HERSH, MD appears in the CMS NPPES registry as a Otolaryngology/Facial Plastic Surgery Physician provider holding MD credentials at 11011 72ND AVE, FOREST HILLS, NY, 11375, with a listed phone of (718) 261-9000. NPI 1699885483 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERSH 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 205 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $6K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Otolaryngology/Facial Plastic Surgery Physician is a narrow specialty nationwide, with 744 enrolled providers across 53 states and an average of 561 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

11011 72ND AVE
FOREST HILLS, NY 11375

Provider Details

NPI 1699885483
Specialty Otolaryngology/Facial Plastic Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 SHELDON HERSH, MD. Source: openpaymentsdata.cms.gov.

Total received

$182

Largest payer

Inspire Medical Systems, 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to SHELDON HERSH, MD. To verify SHELDON HERSH, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

205
Total Claims
$6K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
279
Total Day Supply
6,513
Generic Drug Cost
$5K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.15
Gender Split
52% female / 48% 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
Fluticasone Propionate
59
Cefuroxime
Cefuroxime Axetil
20
Neomycin-Polymyxin-Hydrocort
Neomycin/Polymyxin B/Hydrocort
17
Mometasone Furoate
13
Azithromycin
12
Ciprofloxacin Hcl
11

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

Otolaryngology/Facial Plastic Surgery Physician Overview

How SHELDON HERSH, MD fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.

744
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
561
Avg Claims per Provider

SHELDON HERSH, MD's 205 claims are below the specialty average of 561.

Nearby Otolaryngology/Facial Plastic Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as HERSH.

Compare Otolaryngology/Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHELDON HERSH, MD's specialty?
SHELDON HERSH, MD specializes in Otolaryngology/Facial Plastic Surgery Physician and practices in FOREST HILLS, New York. Credentials: MD.
How much does SHELDON HERSH, MD prescribe under Medicare Part D?
In 2023, SHELDON HERSH, MD wrote 205 Medicare Part D claims totaling $6K in drug costs for 99 beneficiaries.
What is SHELDON HERSH, MD's Medicare quality score?
SHELDON HERSH, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHELDON HERSH, MD located?
SHELDON HERSH, MD is located at 11011 72ND AVE, FOREST HILLS, NY, 11375. Phone: (718) 261-9000.
What is SHELDON HERSH, MD's NPI number?
SHELDON HERSH, MD's National Provider Identifier (NPI) is 1699885483, issued on 08/30/2006.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US?
There are 744 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 561 Medicare Part D claims per year.
What drugs does SHELDON HERSH, MD prescribe most often?
Based on 2023 Medicare Part D data, SHELDON HERSH, MD's most frequently prescribed drugs include Fluticasone Propionate, Cefuroxime, Neomycin-Polymyxin-Hydrocort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHELDON HERSH, MD accept Medicare?
SHELDON HERSH, MD appears in CMS Medicare data with 205 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHELDON HERSH, MD's credentials?
SHELDON HERSH, MD's NPI is 1699885483 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