2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1174575070 M.D.
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TODD SHEILS, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in OPELIKA, Alabama. 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
4K
Medicare Part D claims · 1K beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
100%
generic claims · 0% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8888/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$106.9
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TODD SHEILS, M.D. reported a CMS MIPS final score of 86.8888/100 — above the 83.1 national average — and filed 3,940 Medicare Part D claims in 2023.

86.8888/100
MIPS score · +4 vs avg
4K
Part D claims, 2023
100%
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.

TODD SHEILS, M.D.'s MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). This entry sits in this band. 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)

TODD SHEILS, M.D. 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 TODD SHEILS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/17/2006

NPI 1174575070

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

3,940 699% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

86.8888/100 3.788800000000009% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Alabama providers

Alabama providers

Adult Reconstructive Orthopaedic Surgery Physician share within Alabama

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Alabama

Medicare quality performance — MIPS

TODD SHEILS, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
86.8888/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 86.8888/100 vs national avg 83.1

0%100%National avg83%86.9%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 86.8888/100 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).

TODD SHEILS, M.D. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 121 N 20TH ST, OPELIKA, AL, 36801, with a listed phone of (334) 749-8303. NPI 1174575070 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEILS 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 3,940 prescription claims written by this provider, covering 1,103 Medicare beneficiaries and totaling roughly $55K in drug spend, split 0% brand-name and 100% generic by claim count, with an opioid prescribing rate of 31.0%. 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 86.8888/100 for the 2023 performance year (Quality 77.8309, Cost 85.8549), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

121 N 20TH ST
OPELIKA, AL 36801

Provider Details

NPI 1174575070
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

86.8888
Final Score
Avg: 83.1
77.8309
Quality
85.8549
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD SHEILS, M.D. 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.

THE ORTHOPAEDIC CLINIC, P.C.
OPELIKA, AL

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 TODD SHEILS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

DePuy Synthes Sales 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.

Brand vs generic prescribing mix · Generic-heavy

TODD SHEILS, M.D. — brand share 0.0%
Specialty average (est.)

0% brand-name claims vs 100% generic, on 3,940 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.

3,940
Total Claims
$55K
Total Drug Cost
1,103
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,928
Total Day Supply
139,893
Brand vs Generic
0% brand / 100% generic
Brand Drug Cost
$3K
Generic Drug Cost
$51K
Opioid Claims
1,220 (31.0% rate)
Antibiotic Claims
176

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.06
Gender Split
68% female / 32% male
Age Distribution
<65: 117, 65-74: 532, 75-84: 390, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What TODD SHEILS, M.D. 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
Meloxicam
1,012
Gabapentin
610
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
588
Tramadol Hcl
400
Celecoxib
350
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
232
Diclofenac Sodium
221
Methylprednisolone
147
Amoxicillin
89
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
41

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How TODD SHEILS, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

TODD SHEILS, M.D.'s 3,940 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Alabama

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD SHEILS, M.D.'s specialty?
TODD SHEILS, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in OPELIKA, Alabama. Credentials: M.D..
How much does TODD SHEILS, M.D. prescribe under Medicare Part D?
In 2023, TODD SHEILS, M.D. wrote 3,940 Medicare Part D claims totaling $55K in drug costs for 1,103 beneficiaries.
What is TODD SHEILS, M.D.'s Medicare quality score?
TODD SHEILS, M.D. has a CMS MIPS Final Score of 86.8888/100 (Quality: 77.8309, Cost: 85.8549). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD SHEILS, M.D. located?
TODD SHEILS, M.D. is located at 121 N 20TH ST, OPELIKA, AL, 36801. Phone: (334) 749-8303.
What is TODD SHEILS, M.D.'s NPI number?
TODD SHEILS, M.D.'s National Provider Identifier (NPI) is 1174575070, issued on 05/17/2006.
Does TODD SHEILS, M.D. prescribe more brand-name or generic drugs?
TODD SHEILS, M.D.'s prescribing is 0% brand-name and 100% generic drugs by claim count, with $3K in brand drug costs.
Does TODD SHEILS, M.D. prescribe opioids?
Yes, TODD SHEILS, M.D. had 1,220 opioid claims in 2023 with an opioid prescribing rate of 31.0%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does TODD SHEILS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TODD SHEILS, M.D.'s most frequently prescribed drugs include Meloxicam, Gabapentin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD SHEILS, M.D. accept Medicare?
TODD SHEILS, M.D. appears in CMS Medicare data with 3,940 Part D claims and 1,103 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD SHEILS, M.D.'s credentials?
TODD SHEILS, M.D.'s NPI is 1174575070 with credentials M.D.. 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