2026 NPPES data Hematology (Internal Medicine) Physician NPI 1588976039 M.D
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Shiksha Kedia, M.D

Hematology (Internal Medicine) Physician in Winchester, Massachusetts.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal Medicine) 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
973
Medicare Part D claims · 230 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4/100
▲ 8 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Shiksha Kedia, M.D reported a CMS MIPS final score of 91.4/100 - above the 83.1 national average - and filed 973 Medicare Part D claims in 2023.

91.4/100
MIPS score · +8 vs avg
973
Part D claims, 2023
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.

Shiksha Kedia, M.D's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% of 477,587 scored providers

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

Where Shiksha Kedia, M.D sits

This provider among hematology (internal medicine) physician peers

Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Shiksha Kedia, M.D writes more Part D claims than 69% of them and scores higher on MIPS quality than 66% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 58Shiksha Kedia, M.D-Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 66
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Shiksha Kedia, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Shiksha Kedia, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Shiksha Kedia, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 07/12/2010

NPI 1588976039

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

973 40% vs specialty avg

2023 prescription claims

Specialty avg: 693

MIPS final score

91.4/100 8.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Hematology (Internal Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers
Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Hematology (Internal Medicine) Physician - 0%Hematology (Internal Medicine) Physician0%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Shiksha Kedia, M.D's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
91.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology (Internal Medicine) Physician) - 91.4/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Hematology (Internal Medicine) Physician) - 91.4/100 vs national avg 83.1
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).

Shiksha Kedia, M.D appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding M.D credentials at 620 WASHINGTON ST, Winchester, MA, 01890, with a listed phone of (781) 756-5000. NPI 1588976039 was issued on 07/12/2010.

Medicare Part D records for calendar year 2023 show 973 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 3.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 76.9), compared with the national average of 83.1.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

620 WASHINGTON ST
Winchester, MA 01890

Provider Details

NPI 1588976039
Specialty Hematology (Internal Medicine) Physician
Credentials M.D
Gender Female
NPI Issued 07/12/2010

CMS Quality Score (MIPS)

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

91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Shiksha Kedia, M.D 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.

Massachusetts General Physicians Organization Inc
Boston, MA
The General Hospital Corporation
Boston, MA

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

License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Shiksha Kedia, M.D. To verify Shiksha Kedia, M.D's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Shiksha Kedia, M.D - brand share 7.0%
Hematology (Internal Medicine) Physician average

7% brand-name claims vs 93% generic, on 973 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.

973
Total Claims
$1.2M
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,982
Total Day Supply
55,319
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$695K
Generic Drug Cost
$555K
Opioid Claims
37 (3.8% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.34
Gender Split
88% female / 12% male

Top Prescribed Drugs (Medicare Part D)

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

What Shiksha Kedia, M.D 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
Anastrozole
323
Letrozole
63
Prochlorperazine Maleate
49
Hydroxyurea
39
Famotidine
33
Ondansetron Hcl
31
Tamoxifen Citrate
30
Lenalidomide
26
Oxycodone Hcl
25
Dexamethasone
22

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

Hematology (Internal Medicine) Physician Overview

How Shiksha Kedia, M.D fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

Shiksha Kedia, M.D's 973 claims are above the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Massachusetts

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

Compare Hematology (Internal Medicine) Physician 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 Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Hematology (Internal Medicine) Physician 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 Shiksha Kedia, M.D's specialty?
Shiksha Kedia, M.D specializes in Hematology (Internal Medicine) Physician and practices in Winchester, Massachusetts. Credentials: M.D.
How much does Shiksha Kedia, M.D prescribe under Medicare Part D?
In 2023, Shiksha Kedia, M.D wrote 973 Medicare Part D claims totaling $1.2M in drug costs for 230 beneficiaries.
What is Shiksha Kedia, M.D's Medicare quality score?
Shiksha Kedia, M.D has a CMS MIPS Final Score of 91.4/100 (Quality: 76.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Shiksha Kedia, M.D located?
Shiksha Kedia, M.D is located at 620 WASHINGTON ST, Winchester, MA, 01890. Phone: (781) 756-5000.
What is Shiksha Kedia, M.D's NPI number?
Shiksha Kedia, M.D's National Provider Identifier (NPI) is 1588976039, issued on 07/12/2010.
Does Shiksha Kedia, M.D prescribe more brand-name or generic drugs?
Shiksha Kedia, M.D's prescribing is 7% brand-name and 93% generic drugs by claim count, with $695K in brand drug costs.
Does Shiksha Kedia, M.D prescribe opioids?
Yes, Shiksha Kedia, M.D had 37 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does Shiksha Kedia, M.D prescribe most often?
Based on 2023 Medicare Part D data, Shiksha Kedia, M.D's most frequently prescribed drugs include Anastrozole, Letrozole, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shiksha Kedia, M.D accept Medicare?
Shiksha Kedia, M.D appears in CMS Medicare data with 973 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shiksha Kedia, M.D's credentials?
Shiksha Kedia, M.D's NPI is 1588976039 with credentials M.D. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.