NPI registry status
Active
2026 NPPES data Otolaryngology/Facial Plastic Surgery Physician NPI 1699885483 MD
Verify on CMS → Sheldon Hersh, MD
Otolaryngology/Facial Plastic Surgery Physician in Forest Hills, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 745 in Otolaryngology/Facial Plastic Surgery Physician, 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
209
Medicare Part D claims · 90 beneficiaries · Otolaryngology/Facial Plastic Surgery Physician avg: 601
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Industry payments
$182
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sheldon Hersh, MD reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 209 Medicare Part D claims in 2024.
- 0/100
- MIPS score · -83 vs avg
- 209
- Part D claims, 2024
- 93%
- 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.
Federal trust snapshot
What official records show about Sheldon Hersh, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1699885483), first enumerated 08/30/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 209 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$182 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Sheldon Hersh, MD's individual license status. Verify directly with the state medical board.
Source: NYSBPMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1699885483 · Otolaryngology/Facial Plastic Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1699885483
- ENUM-LEGACY 2006
- TAX-NARROW 745
- MIPS-LOW 0/100
- RX-LIGHT 209
- BOOK-THIN 52 in New York
- PHOTO-FINISH Adam Abram, MD · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Hersh · this pro… 0
Hersh · this provider
0 MIPS pts
- Michael Baker, M… 0
Michael Baker, MD
0 MIPS pts
- Adam Abram, MD ·… 0
Adam Abram, MD
0 MIPS pts
- David Alessi, MD… 0
David Alessi, MD
0 MIPS pts
- William Anderson… 0
William Anderson, MD
0 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sheldon Hersh, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sheldon Hersh, MD sits
This provider among otolaryngology/facial plastic surgery physician peers
Across the 221 otolaryngology/facial plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sheldon Hersh, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 0% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one otolaryngology/facial plastic surgery physician peer from a representative sample of 60; the gold marker is Sheldon Hersh, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Otolaryngology/Facial Plastic Surgery Physician
Medicare Part D claims
209 65% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in New York
How Otolaryngology/Facial Plastic Surgery Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Sheldon Hersh, MD's 2023 MIPS final score plotted against the Otolaryngology/Facial Plastic Surgery Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
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
Measured-score avg: 83.5
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.
Brand vs generic prescribing mix · Generic-heavy
Sheldon Hersh, MD - brand share 7.0%
Otolaryngology/Facial Plastic Surgery Physician average
7% brand-name claims vs 93% generic, on 209 2024 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 2024.
209
Total Claims
$7K
Total Drug Cost
90
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 295.367
- Total Day Supply
- 7,392
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 77.9 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 74 |
| Ciprofloxacin-Dexamethasone Ciprofloxacin Hcl/Dexameth | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Otolaryngology/Facial Plastic Surgery Physician in NY →
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Compare specialties →
Otolaryngology/Facial Plastic Surgery Physician Overview
How Sheldon Hersh, MD fits within the Otolaryngology/Facial Plastic Surgery Physician landscape nationally.
745
Otolaryngology/Facial Plastic Surgery Physician Providers in US
53
States with Otolaryngology/Facial Plastic Surgery Physician
601
Avg Claims per Provider
Sheldon Hersh, MD's 209 claims are below the specialty average of 601.
Nationwide Otolaryngology/Facial Plastic Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Hersh, both outside New York so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (0 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 52 Otolaryngology/Facial Plastic Surgery Physician providers enrolled in New York, 5 are shown here.
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 2024, Sheldon Hersh, MD wrote 209 Medicare Part D claims totaling $7K in drug costs for 90 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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.
Does Sheldon Hersh, MD prescribe more brand-name or generic drugs? ▼
Sheldon Hersh, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $4K in brand drug costs.
How many Otolaryngology/Facial Plastic Surgery Physician providers are there in the US? ▼
There are 745 Otolaryngology/Facial Plastic Surgery Physician providers across 53 states in the US. The average Otolaryngology/Facial Plastic Surgery Physician provider writes 601 Medicare Part D claims per year.
What drugs does Sheldon Hersh, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Sheldon Hersh, MD's most frequently prescribed drugs include Fluticasone Propionate, Ciprofloxacin-Dexamethasone. 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 209 Part D claims and 90 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.