NPI registry status
Active
2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1548757925 MD
Verify on CMS → Shiri Raphaely, MD
Child & Adolescent Psychiatry Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,300 in Child & Adolescent Psychiatry 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
73
Medicare Part D claims · Child & Adolescent Psychiatry Physician avg: 608
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
What the federal data shows
Shiri Raphaely, MD reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 73 Medicare Part D claims in 2024.
- 77.4/100
- MIPS score · -6 vs avg
- 73
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥20th
- pct among measured MIPS (lower-bound band)
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 Shiri Raphaely, 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 1548757925), first enumerated 04/20/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 73 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 77.4/100 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
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1548757925 · Child & Adolescent Psychiatry Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1548757925
- ENUM-RECENT 2018
- TAX-MID 6K Child &
- MIPS-BELOW 77.4/100
- RX-TRACE 73
- BOOK-THIN 105 in Wisconsin
- PHOTO-FINISH Omar Rieche · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Raphaely · this …
Raphaely · this provider
77.4 MIPS pts
- Jenny Tumba · near
Jenny Tumba
77.4 MIPS pts
- Omar Rieche · near
Omar Rieche
77.4 MIPS pts
- John Ryder · near
John Ryder
77.4 MIPS pts
- Piper Carroll · …
Piper Carroll
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Shiri Raphaely, 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.
77 ≥ 20th percentile 20% 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 Shiri Raphaely, MD sits
This provider among child & adolescent psychiatry physician peers
Across the 326 child & adolescent psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Shiri Raphaely, MD writes more Part D claims than 36% of them and scores higher on MIPS quality than 25% - 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 child & adolescent psychiatry physician peer from a representative sample of 60; the gold marker is Shiri Raphaely, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Shiri Raphaely, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Shiri Raphaely, MD?
Below national averagePrimary specialty
Child & Adolescent Psychiatry Physician
Medicare Part D claims
73 88% vs specialty avg
MIPS final score
77.4/100 6.1 pts vs avg
Specialty distribution in Wisconsin
How Child & Adolescent Psychiatry Physician compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Shiri Raphaely, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average
- MIPS Final Score
- 77.4/100
- 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 | 1548757925 |
|---|---|
| Specialty | Child & Adolescent Psychiatry Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/20/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.4384
Final Score
Measured-score avg: 83.5
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Shiri Raphaely, 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.
University OF Wisconsin Medical Foundation Inc
Madison, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
73
Total Claims
$560
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 76.133
- Total Day Supply
- 2,069
- Generic Drug Cost
- $559
Patient Demographics
- Average Patient Age
- 46.3 years
- Avg HCC Risk Score
- 1.22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Shiri Raphaely, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Risperidone
Risperidone
28 claims
- Fluoxetine Hcl
Fluoxetine Hcl
14 claims
- Gabapentin
Gabapentin
14 claims
| Drug | Claims |
|---|---|
| Risperidone | 28 |
| Fluoxetine Hcl | 14 |
| Gabapentin | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Child & Adolescent Psychiatry Physician in WI →
All providers in Wisconsin →
Compare specialties →
Child & Adolescent Psychiatry Physician Overview
How Shiri Raphaely, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.
6,300
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
608
Avg Claims per Provider
Shiri Raphaely, MD's 73 claims are below the specialty average of 608.
Nationwide Child & Adolescent Psychiatry Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Raphaely, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Child & Adolescent Psychiatry Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Raphaely.
One of 105 Child & Adolescent Psychiatry Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Maritoni Abraham
M.D.
Wauwatosa, WI
Dr. Richa Aggarwal
MD
Appleton, WI
Dr. Himanshu Agrawal
M.D.
Elm Grove, WI
Dr. Jeffrey Anders
MD
Fitchburg, WI
Dr. Maria Maria Anleu-Smith
M.D.
Beloit, WI
Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Shiri Raphaely, MD's specialty? ▼
Shiri Raphaely, MD specializes in Child & Adolescent Psychiatry Physician and practices in Madison, Wisconsin. Credentials: MD.
How much does Shiri Raphaely, MD prescribe under Medicare Part D? ▼
In 2024, Shiri Raphaely, MD wrote 73 Medicare Part D claims totaling $560 in drug costs for N/A beneficiaries.
What is Shiri Raphaely, MD's Medicare quality score? ▼
Shiri Raphaely, MD has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). 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 Shiri Raphaely, MD located? ▼
Shiri Raphaely, MD is located at 6001 RESEARCH PARK BLVD, Madison, WI, 53719. Phone: (608) 232-3171.
What is Shiri Raphaely, MD's NPI number? ▼
Shiri Raphaely, MD's National Provider Identifier (NPI) is 1548757925, issued on 04/20/2018.
How many Child & Adolescent Psychiatry Physician providers are there in the US? ▼
There are 6,300 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 608 Medicare Part D claims per year.
What drugs does Shiri Raphaely, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Shiri Raphaely, MD's most frequently prescribed drugs include Risperidone, Fluoxetine Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Shiri Raphaely, MD accept Medicare? ▼
Shiri Raphaely, MD appears in CMS Medicare data with 73 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Shiri Raphaely, MD's credentials? ▼
Shiri Raphaely, MD's NPI is 1548757925 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.