2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1548757925 MD
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SHIRI RAPHAELY, MD

Child & Adolescent Psychiatry Physician in MADISON, Wisconsin. 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
66
Medicare Part D claims · Child & Adolescent Psychiatry Physician avg: 600
MIPS score
77.4384/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

SHIRI RAPHAELY, MD reported a CMS MIPS final score of 77.4384/100 — below the 83.1 national average — and filed 66 Medicare Part D claims in 2023.

77.4384/100
MIPS score · -6 vs avg
66
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.

SHIRI RAPHAELY, MD's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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%). This entry sits in this band. 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)

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 average

NPI registry status

Active

Issued 04/20/2018

NPI 1548757925

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

66 89% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

77.4384/100 5.661599999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Child & Adolescent Psychiatry Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Child & Adolescent Psychiatry Physician share within Wisconsin

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Wisconsin

Medicare quality performance — MIPS

SHIRI RAPHAELY, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

Below national average
MIPS Final Score
77.4384/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 77.4384/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Child & Adolescent Psychiatry Physician) — 77.4384/100 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).

SHIRI RAPHAELY, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 6001 RESEARCH PARK BLVD, MADISON, WI, 53719, with a listed phone of (608) 232-3171. NPI 1548757925 was issued on 04/20/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAPHAELY 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 66 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K 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 77.4384/100 for the 2023 performance year (Quality 81.8371, Cost 62.1241), compared with the national average of 83.1.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

6001 RESEARCH PARK BLVD
MADISON, WI 53719

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
Avg: 83.1
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 2023.

66
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
66
Total Day Supply
1,765
Brand Drug Cost
$0
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
32.7 years
Avg HCC Risk Score
0.46

Top Prescribed Drugs (Medicare Part D)

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

What SHIRI RAPHAELY, MD 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
Risperidone
26
Fluoxetine Hcl
18
Gabapentin
13

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

Child & Adolescent Psychiatry Physician Overview

How SHIRI RAPHAELY, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

SHIRI RAPHAELY, MD's 66 claims are below the specialty average of 600.

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.

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 2023, SHIRI RAPHAELY, MD wrote 66 Medicare Part D claims totaling $2K 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 77.4384/100 (Quality: 81.8371, Cost: 62.1241). The national average MIPS Final Score is 83.1. 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 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does SHIRI RAPHAELY, MD prescribe most often?
Based on 2023 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 66 Part D claims and N/A Medicare beneficiaries in 2023. 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

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