Doctor profile · Federal record
Dr. Phalgoon Shah, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Pulmonary Disease Physician · Edgewood, KY
- NPI 1821409319
- Accepts Medicare
- 19 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1 Medical Village Dr
Edgewood, KY 410173403
(859) 757-2927
fax (859) 341-0203 - Additional location
-
201 Park St
Bowling Green, KY 421011708
(270) 781-5111
fax (270) 780-0473 - Additional location
-
280 Exempla Cir
Lafayette, CO 800263370
(303) 338-4545
Credentials & registration
- NPI registered
- May 2014 — 12 yrs on file
- Profile last updated
- September 20, 2023
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State licenses (2)
- Kentucky #53445 · Colorado #DR.0065750
- Medicaid
- KY #7100660020
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1821409319. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
382
Distinct HCPCS
6
Medicare allowed
$59,495
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 152 | 80 | $202 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 137 | 91 | $114 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | 40 | $160 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 28 | 20 | $170 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $143 | |
94729 |
Test to examine how well the lungs exchange gases | 12 | 12 | $9 |
In context: peer comparison
Among 1 peers in Edgewood Pulmonary Disease Physician, average services per provider: 63. This provider delivers 6.1× the peer median.Open Payments
Industry payments received
All-time total
$629
Transactions
31
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 16 | $227.26 | |
| Body Vision Medical INC. | 1 | $84.70 | |
| Actelion Pharmaceuticals US, INC. | 2 | $65.27 | |
| Mylan Specialty L.P. | 2 | $41.41 | |
| Takeda Pharmaceuticals U.S.A., INC. | 2 | $37.89 | |
| Grifols USA, LLC | 2 | $35.60 | |
| United Therapeutics Corporation | 1 | $31.94 | |
| Baxter Healthcare | 1 | $26.94 | |
| Genzyme Corporation | 1 | $23.74 | |
| Regeneron Healthcare Solutions, INC. | 1 | $21.24 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $18.79 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $14.55 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
169
Patients
56
Total drug cost
$89,532
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 50 | 16 | $48,341 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 36 | 16 | $24,408 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 20 | 12 | $1,097 |
| Montelukast Sodium | Generic | 20 | 12 | $376 |
| Azelastine Hcl | Generic | 19 | 0 | $650 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 13 | 0 | $14,536 |
| Pantoprazole Sodium | Generic | 11 | 0 | $125 |
Hospital affiliations
Frequently asked questions
What is Dr. Phalgoon Shah's medical specialty?
Dr. Phalgoon Shah practices Pulmonary Disease Physician in Edgewood, KY.
Where does Dr. Phalgoon Shah practice?
Dr. Phalgoon Shah practices at 1 Medical Village Dr, Edgewood, KY 410173403. Office phone: 8597572927.
What is Dr. Phalgoon Shah's NPI?
Dr. Phalgoon Shah's National Provider Identifier (NPI) is 1821409319, issued by NPPES.
Does Dr. Phalgoon Shah accept Medicare assignment?
Yes. Dr. Phalgoon Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Phalgoon Shah commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.