2026 NPPES data Nephrology Physician NPI 1174509020 MD
Verify on CMS →

SHELDON HIRSCH, MD

Nephrology Physician in CHICAGO, Illinois. 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 · 204 beneficiaries · Nephrology Physician avg: 1K
Industry payments
$36.16
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHELDON HIRSCH, MD is a Nephrology Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 1K claims across 204 beneficiaries . Industry payments of $36.16 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHELDON HIRSCH, MD filed 1,471 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHELDON HIRSCH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SHELDON HIRSCH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 12/21/2005

NPI 1174509020

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,471 1% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Illinois

How Nephrology Physician compares to other specialties among Illinois providers

Illinois providers

Nephrology Physician share within Illinois

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

Specialty board-certification context

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

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

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

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

SHELDON HIRSCH, MD is a Nephrology Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1174509020. 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 HIRSCH, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1717 S WABASH AVE, CHICAGO, IL, 60616, with a listed phone of (312) 913-0110. NPI 1174509020 was issued on 12/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIRSCH 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 1,471 prescription claims written by this provider, covering 204 Medicare beneficiaries and totaling roughly $626K 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1717 S WABASH AVE
CHICAGO, IL 60616

Provider Details

NPI 1174509020
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 12/21/2005

Hospital and facility affiliations

Facilities where SHELDON HIRSCH, 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.

LAKESIDE NEPHROLOGY LTD
CHICAGO, IL
RUSH UNIVERSITY MEDICAL GROUP
CHICAGO, IL

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

Total received

$36

Largest payer

Fresenius USA Marketing, 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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to SHELDON HIRSCH, MD. To verify SHELDON HIRSCH, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

1,471
Total Claims
$626K
Total Drug Cost
204
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,867
Total Day Supply
85,302
Generic Drug Cost
$124K

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
6.18
Gender Split
48% female / 52% male
Age Distribution
<65: 70, 65-74: 55, 75-84: 60, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Sevelamer Carbonate
276
Spironolactone
153
Furosemide
94
Velphoro
Sucroferric Oxyhydroxide
93
Auryxia
Ferric Citrate
79
Losartan Potassium
67
Chlorthalidone
45
Lokelma
Sodium Zirconium Cyclosilicate
45
Lisinopril
40
Amlodipine Besylate
36

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

Nephrology Physician Overview

How SHELDON HIRSCH, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

SHELDON HIRSCH, MD's 1,471 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is SHELDON HIRSCH, MD's specialty?
SHELDON HIRSCH, MD specializes in Nephrology Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does SHELDON HIRSCH, MD prescribe under Medicare Part D?
In 2023, SHELDON HIRSCH, MD wrote 1,471 Medicare Part D claims totaling $626K in drug costs for 204 beneficiaries.
Where is SHELDON HIRSCH, MD located?
SHELDON HIRSCH, MD is located at 1717 S WABASH AVE, CHICAGO, IL, 60616. Phone: (312) 913-0110.
What is SHELDON HIRSCH, MD's NPI number?
SHELDON HIRSCH, MD's National Provider Identifier (NPI) is 1174509020, issued on 12/21/2005.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does SHELDON HIRSCH, MD prescribe most often?
Based on 2023 Medicare Part D data, SHELDON HIRSCH, MD's most frequently prescribed drugs include Sevelamer Carbonate, Spironolactone, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHELDON HIRSCH, MD accept Medicare?
SHELDON HIRSCH, MD appears in CMS Medicare data with 1,471 Part D claims and 204 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHELDON HIRSCH, MD's credentials?
SHELDON HIRSCH, MD's NPI is 1174509020 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