NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1134184625 MD
Verify on CMS → Sunil Sheth, MD
Gastroenterology Physician in Boston, 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 16,601 in Gastroenterology 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
828
Medicare Part D claims · 503 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sunil Sheth, MD filed 828 Medicare Part D claims in 2023 as a Gastroenterology Physician in Boston, Massachusetts, prescribing 64% generic.
- 828
- Part D claims, 2023
- 64%
- 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.
Sunil Sheth, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
828 Top 27% higher than 73% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Sunil Sheth, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Sunil Sheth, MD?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
828 1% vs specialty avg
Specialty distribution in Massachusetts
How Gastroenterology Physician compares to other specialties among Massachusetts providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
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).
Sunil Sheth, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 330 BROOKLINE AVE # RABB423, Boston, MA, 02215, with a listed phone of (617) 667-7957. NPI 1134184625 was issued on 04/19/2006.
Medicare Part D records for calendar year 2023 show 828 prescription claims written by this provider, covering 503 Medicare beneficiaries and totaling roughly $608K in drug spend, split 36% brand-name and 64% generic by claim count.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1134184625 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/19/2006 |
Hospital and facility affiliations
Facilities where Sunil Sheth, 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.
Harvard Medical Faculty Phys AT Beth Israel Deaconess Med Ctr Inc
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 Sunil Sheth, MD. To verify Sunil Sheth, MD'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 · Above average
Sunil Sheth, MD - brand share 36.0%
Gastroenterology Physician average
36% brand-name claims vs 64% generic, on 828 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.
828
Total Claims
$608K
Total Drug Cost
503
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,249
- Total Day Supply
- 25,381
- Brand vs Generic
- 36% brand / 64% generic
- Brand Drug Cost
- $570K
- Generic Drug Cost
- $38K
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 0.98
- 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 Sunil Sheth, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clenpiq
Clenpiq
109 claims
- Omeprazole
Omeprazole
88 claims
- Pantoprazole Sodium
Pantoprazole Sodium
60 claims
- Famotidine
Famotidine
56 claims
- Dicyclomine Hcl
Dicyclomine Hcl
55 claims
- Peg 3350-Electrolyte 34
Peg 3350-Electrolyte
34 claims
- Humira(Cf) Pen 23
Humira(Cf) Pen
23 claims
- Linzess 22
Linzess
22 claims
| Drug | Claims |
|---|---|
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 109 |
| Omeprazole | 88 |
| Pantoprazole Sodium | 60 |
| Famotidine | 56 |
| Dicyclomine Hcl | 55 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 34 |
| Humira(Cf) Pen Adalimumab | 23 |
| Linzess Linaclotide | 22 |
| Sod Sulf-Potass Sulf-Mag Sulf "Sodium | N/A |
| Suprep "Sodium | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Sunil Sheth, MD fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Sunil Sheth, MD's 828 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Sheth.
Dr. Robert Aaron
MD
Stoneham, MA
Dr. Michael Aaronson
MD
Beverly, MA
Dr. Diane Abraczinskas
MD
Boston, MA
Dr. Lynne Ahn
MD
Framingham, MA
Dr. Hiroyuki Aihara
M.D.
Boston, MA
Compare Gastroenterology 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 Gastroenterology 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Frequently Asked Questions
What is Sunil Sheth, MD's specialty? ▼
Sunil Sheth, MD specializes in Gastroenterology Physician and practices in Boston, Massachusetts. Credentials: MD.
How much does Sunil Sheth, MD prescribe under Medicare Part D? ▼
In 2023, Sunil Sheth, MD wrote 828 Medicare Part D claims totaling $608K in drug costs for 503 beneficiaries.
Where is Sunil Sheth, MD located? ▼
Sunil Sheth, MD is located at 330 BROOKLINE AVE # RABB423, Boston, MA, 02215. Phone: (617) 667-7957.
What is Sunil Sheth, MD's NPI number? ▼
Sunil Sheth, MD's National Provider Identifier (NPI) is 1134184625, issued on 04/19/2006.
Does Sunil Sheth, MD prescribe more brand-name or generic drugs? ▼
Sunil Sheth, MD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $570K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Sunil Sheth, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sunil Sheth, MD's most frequently prescribed drugs include Clenpiq, Omeprazole, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sunil Sheth, MD accept Medicare? ▼
Sunil Sheth, MD appears in CMS Medicare data with 828 Part D claims and 503 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sunil Sheth, MD's credentials? ▼
Sunil Sheth, MD's NPI is 1134184625 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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.
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 May 2026.