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2026 NPPES data Specialist NPI 1356335947 M.D.
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Wayne Shaia, M.D.

Specialist in Richmond, Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
1K
Medicare Part D claims · 538 beneficiaries · Specialist avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.4/100
▼ 10 pts below national avg 83.5 · Mid-tier
Industry payments
$643.15
11 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Wayne Shaia, M.D. reported a CMS MIPS final score of 73.4/100 - below the 83.5 national average - and filed 1,427 Medicare Part D claims in 2024.

73.4/100
MIPS score · -10 vs avg
1K
Part D claims, 2024
91%
generic prescribing
$643.15
industry payments (Sunshine Act)

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.

Federal trust snapshot

What official records show about Wayne Shaia, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1356335947), first enumerated 09/09/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,427 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 73.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $643.15 in reported industry payments (11 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1356335947 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1356335947
  • ENUM-LEGACY 2005
  • TAX-MEGA 70K Specialist
  • MIPS-LOW 73.4/100
  • RX-MID 1,427
  • BOOK-LIGHT 1,007 in Virginia
  • PHOTO-FINISH Jeffrey Novak, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Wayne Shaia, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

73 ≥ 11th percentile 11% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Wayne Shaia, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Wayne Shaia, M.D. writes more Part D claims than 64% of them and scores higher on MIPS quality than 24% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Wayne Shaia, M.D., Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 24
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Wayne Shaia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Wayne Shaia, M.D.?

Below national average

NPI registry status

Active

Issued 09/09/2005

NPI 1356335947

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

1,427 6% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

73.4/100 10.1 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Virginia

How Specialist compares to other specialties among Virginia providers

Virginia providers
Behavior Technician5.5%Clinical Social Worker5.2%Student in an Organized Heal…4.7%Physical Therapist4.6%Pharmacist4.4%Professional Counselor4%Specialist0.7%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance, MIPS

Wayne Shaia, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
73.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%73.4%
MIPS final score (Specialist) - 73.4/100 vs national avg 83.5
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).

Practice Address

10200 THREE CHOPT RD
Richmond, VA 23233
(804) 288-3277

Provider Details

NPI 1356335947
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 09/09/2005

CMS Quality Score (MIPS)

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

73.3971
Final Score
Measured-score avg: 83.5
58.722
Quality
87
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Wayne Shaia, 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.

Balance And Ear Center, Inc
Richmond, VA

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 Wayne Shaia, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$643

Largest payer

Regeneron Healthcare Solutions, 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

Wayne Shaia, M.D. - brand share 9.0%
Specialist average

9% brand-name claims vs 91% generic, on 1,427 2024 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 2024.

1,427
Total Claims
$18K
Total Drug Cost
538
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,303.867
Total Day Supply
56,833
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$3K
Generic Drug Cost
$15K
Opioid Claims
74 (5.2% rate)
Antibiotic Claims
173

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.99
Gender Split
61% female / 39% male
Age Distribution
<65: 37, 65-74: 274, 75-84: 184, 85+: 43

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Wayne Shaia, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Clonazepam
 150
Ciprofloxacin Hcl
 104
Alprazolam
 88
Cefdinir
 88
Prednisone
 71
Nortriptyline Hcl
 70
Meclizine Hcl
 68
Ondansetron Odt
Ondansetron
68
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
67
Hydrochlorothiazide
 61

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

More Specialist in VA → All providers in Virginia → Compare specialties →

Specialist Overview

How Wayne Shaia, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Wayne Shaia, M.D.'s 1,427 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Shaia, both outside Virginia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (73.4 here).

Jeffrey Novak 73.4 NY Charles Anderson 73.4 CO James Clark 73.4 CO Sameh Melouk 73.4 CO

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Donna Whitehouse Rancho Mirage, CA Christopher Wenzel Clyde, NC James Alver Riverview, FL William Connolly Pottsville, PA

Nearby Specialist Providers in Virginia

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

One of 1,007 Specialist providers enrolled in Virginia, 5 are shown here.

Dr. Hasan Abdallah
MD
Reston, VA
Dr. Stephen Abramson
M.D.
Richmond, VA
Dr. Richard Abriss
M.D.
Virginia Beach, VA
Joseph Acka
South Hill, VA
Dr. Jon Adleberg
M.D.
Chesapeake, VA

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Wayne Shaia, M.D.'s specialty? ▼
Wayne Shaia, M.D. specializes in Specialist and practices in Richmond, Virginia. Credentials: M.D..
How much does Wayne Shaia, M.D. prescribe under Medicare Part D? ▼
In 2024, Wayne Shaia, M.D. wrote 1,427 Medicare Part D claims totaling $18K in drug costs for 538 beneficiaries.
What is Wayne Shaia, M.D.'s Medicare quality score? ▼
Wayne Shaia, M.D. has a CMS MIPS Final Score of 73.4/100 (Quality: 58.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Wayne Shaia, M.D. located? ▼
Wayne Shaia, M.D. is located at 10200 THREE CHOPT RD, Richmond, VA, 23233. Phone: (804) 288-3277.
What is Wayne Shaia, M.D.'s NPI number? ▼
Wayne Shaia, M.D.'s National Provider Identifier (NPI) is 1356335947, issued on 09/09/2005.
Does Wayne Shaia, M.D. prescribe more brand-name or generic drugs? ▼
Wayne Shaia, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $3K in brand drug costs.
Does Wayne Shaia, M.D. prescribe opioids? ▼
Yes, Wayne Shaia, M.D. had 74 opioid claims in 2024 with an opioid prescribing rate of 5.2%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Wayne Shaia, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Wayne Shaia, M.D.'s most frequently prescribed drugs include Clonazepam, Ciprofloxacin Hcl, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Wayne Shaia, M.D. accept Medicare? ▼
Wayne Shaia, M.D. appears in CMS Medicare data with 1,427 Part D claims and 538 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Wayne Shaia, M.D.'s credentials? ▼
Wayne Shaia, M.D.'s NPI is 1356335947 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.