2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1609182898 MD
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SHON MICHAEL, MD

Neuromusculoskeletal Medicine & OMM Physician in CINCINNATI, Ohio. 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
981
Medicare Part D claims · 225 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$318.15
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHON MICHAEL, MD is a Neuromusculoskeletal Medicine & OMM Physician ([object Object]) practicing in CINCINNATI, Ohio with a Medicare Part D prescribing footprint of 981 claims across 225 beneficiaries — 11% brand-name prescribing . Their CMS MIPS Final Score of 90.3837/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $318.15 across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHON MICHAEL, MD reported a CMS MIPS final score of 90.3837 out of 100, above the 83.1 national average, and filed 981 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SHON MICHAEL, 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).

SHON MICHAEL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/25/2010

NPI 1609182898

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician

Niche

1,235 US NPIs in this specialty

Medicare Part D claims

981 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,107

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Ohio providers

Ohio providers

Neuromusculoskeletal Medicine & OMM Physician share within Ohio

1. Neuromusculoskeletal Medicine & OMM Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromusculoskeletal Medicine & OMM Physician share within Ohio

Medicare quality performance — MIPS

SHON MICHAEL, MD's 2023 MIPS final score plotted against the Neuromusculoskeletal Medicine & OMM Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) — 90.3837/100 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).

SHON MICHAEL, MD is a Neuromusculoskeletal Medicine & OMM Physician provider practicing in CINCINNATI, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609182898. 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.

SHON MICHAEL, MD appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding MD credentials at 4805 MONTGOMERY RD STE 410, CINCINNATI, OH, 45212, with a listed phone of (513) 241-2370. NPI 1609182898 was issued on 08/25/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MICHAEL 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 981 prescription claims written by this provider, covering 225 Medicare beneficiaries and totaling roughly $825K in drug spend, split 11% brand-name and 89% generic by claim count. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,235 enrolled providers across 51 states and an average of 1,107 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

4805 MONTGOMERY RD STE 410
CINCINNATI, OH 45212

Provider Details

NPI 1609182898
Specialty Neuromusculoskeletal Medicine & OMM Physician
Credentials MD
Gender Male
NPI Issued 08/25/2010

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SHON MICHAEL, 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.

RIVERHILLS HEALTHCARE INC
CINCINNATI, OH

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 SHON MICHAEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$318

Largest payer

ABBVIE 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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to SHON MICHAEL, MD. To verify SHON MICHAEL, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

SHON MICHAEL, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 981 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.

981
Total Claims
$825K
Total Drug Cost
225
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,585
Total Day Supply
46,222
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$789K
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.37
Gender Split
61% female / 39% male
Age Distribution
<65: 29, 65-74: 91, 75-84: 78, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
173
Carbidopa-Levodopa
Carbidopa/Levodopa
101
Donepezil Hcl
98
Levetiracetam
73
Pyridostigmine Bromide
49
Pregabalin
42
Prednisone
38
Gammagard Liquid
Immun Glob G(Igg)/Gly/Iga Ov50
26
Topiramate
22
Octagam
Immun Globg(Igg)/Malt/Iga Ov50
21

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

Neuromusculoskeletal Medicine & OMM Physician Overview

How SHON MICHAEL, MD fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.

1,235
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider

SHON MICHAEL, MD's 981 claims are below the specialty average of 1,107.

Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in Ohio

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

Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHON MICHAEL, MD's specialty?
SHON MICHAEL, MD specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in CINCINNATI, Ohio. Credentials: MD.
How much does SHON MICHAEL, MD prescribe under Medicare Part D?
In 2023, SHON MICHAEL, MD wrote 981 Medicare Part D claims totaling $825K in drug costs for 225 beneficiaries.
What is SHON MICHAEL, MD's Medicare quality score?
SHON MICHAEL, MD has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHON MICHAEL, MD located?
SHON MICHAEL, MD is located at 4805 MONTGOMERY RD STE 410, CINCINNATI, OH, 45212. Phone: (513) 241-2370.
What is SHON MICHAEL, MD's NPI number?
SHON MICHAEL, MD's National Provider Identifier (NPI) is 1609182898, issued on 08/25/2010.
Does SHON MICHAEL, MD prescribe more brand-name or generic drugs?
SHON MICHAEL, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $789K in brand drug costs.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US?
There are 1,235 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does SHON MICHAEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SHON MICHAEL, MD's most frequently prescribed drugs include Gabapentin, Carbidopa-Levodopa, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHON MICHAEL, MD accept Medicare?
SHON MICHAEL, MD appears in CMS Medicare data with 981 Part D claims and 225 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHON MICHAEL, MD's credentials?
SHON MICHAEL, MD's NPI is 1609182898 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