2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1245461243
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SHWETHA MALLESARA SUDHAKAR

Endocrinology, Diabetes & Metabolism Physician in CHARLOTTE, North Carolina. 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 · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

SHWETHA MALLESARA SUDHAKAR reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,062 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
54%
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.

SHWETHA MALLESARA SUDHAKAR's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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. 90–100: 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

Board certification likely (heuristic — not verified)

SHWETHA MALLESARA SUDHAKAR 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 SHWETHA MALLESARA SUDHAKAR?

High performer (top quartile)

NPI registry status

Active

Issued 08/07/2009

NPI 1245461243

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

1,062 60% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among North Carolina providers

North Carolina providers

Endocrinology, Diabetes & Metabolism Physician share within North Carolina

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within North Carolina

Medicare quality performance — MIPS

SHWETHA MALLESARA SUDHAKAR's 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

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

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 100/100 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).

SHWETHA MALLESARA SUDHAKAR appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider at 1025 MOREHEAD MEDICAL DR, CHARLOTTE, NC, 28204, with a listed phone of (704) 446-2320. NPI 1245461243 was issued on 08/07/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MALLESARA SUDHAKAR 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 1,062 prescription claims written by this provider, covering 204 Medicare beneficiaries and totaling roughly $402K in drug spend, split 46% brand-name and 54% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

1025 MOREHEAD MEDICAL DR
CHARLOTTE, NC 28204

Provider Details

NPI 1245461243
Specialty Endocrinology, Diabetes & Metabolism Physician
Gender Male
NPI Issued 08/07/2009

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHWETHA MALLESARA SUDHAKAR 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.

CAROLINAS MEDICAL CENTER
CHARLOTTE, NC
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
CHARLOTTE, NC

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

Brand vs generic prescribing mix · Above average

SHWETHA MALLESARA SUDHAKAR — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 1,062 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.

1,062
Total Claims
$402K
Total Drug Cost
204
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,507
Total Day Supply
74,574
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$380K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
2.42
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What SHWETHA MALLESARA SUDHAKAR 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
Levothyroxine Sodium
305
Hydrocortisone
90
Metformin Hcl Er
Metformin Hcl
57
Levemir Flexpen
Insulin Detemir
42
Alendronate Sodium
40
Metformin Hcl
38
Novolog Flexpen
Insulin Aspart
35
Januvia
Sitagliptin Phosphate
32
Jardiance
Empagliflozin
31
Tradjenta
Linagliptin
21

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

Endocrinology, Diabetes & Metabolism Physician Overview

How SHWETHA MALLESARA SUDHAKAR fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

SHWETHA MALLESARA SUDHAKAR's 1,062 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MALLESARA SUDHAKAR.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHWETHA MALLESARA SUDHAKAR's specialty?
SHWETHA MALLESARA SUDHAKAR specializes in Endocrinology, Diabetes & Metabolism Physician and practices in CHARLOTTE, North Carolina.
How much does SHWETHA MALLESARA SUDHAKAR prescribe under Medicare Part D?
In 2023, SHWETHA MALLESARA SUDHAKAR wrote 1,062 Medicare Part D claims totaling $402K in drug costs for 204 beneficiaries.
What is SHWETHA MALLESARA SUDHAKAR's Medicare quality score?
SHWETHA MALLESARA SUDHAKAR has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHWETHA MALLESARA SUDHAKAR located?
SHWETHA MALLESARA SUDHAKAR is located at 1025 MOREHEAD MEDICAL DR, CHARLOTTE, NC, 28204. Phone: (704) 446-2320.
What is SHWETHA MALLESARA SUDHAKAR's NPI number?
SHWETHA MALLESARA SUDHAKAR's National Provider Identifier (NPI) is 1245461243, issued on 08/07/2009.
Does SHWETHA MALLESARA SUDHAKAR prescribe more brand-name or generic drugs?
SHWETHA MALLESARA SUDHAKAR's prescribing is 46% brand-name and 54% generic drugs by claim count, with $380K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does SHWETHA MALLESARA SUDHAKAR prescribe most often?
Based on 2023 Medicare Part D data, SHWETHA MALLESARA SUDHAKAR's most frequently prescribed drugs include Levothyroxine Sodium, Hydrocortisone, Metformin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHWETHA MALLESARA SUDHAKAR accept Medicare?
SHWETHA MALLESARA SUDHAKAR appears in CMS Medicare data with 1,062 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 SHWETHA MALLESARA SUDHAKAR's credentials?
SHWETHA MALLESARA SUDHAKAR's NPI is 1245461243. 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