Doctor profile · Federal record
Dr. Pranay Shah, D.O.
Internal Medicine Physician (CMS: Hospitalist) · Toms River, NJ
- NPI 1528448115
- Accepts Medicare
- MIPS 85.0 / 100 · 2023
- 11 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
99 Rte 37 W
Toms River, NJ 087556423
(908) 217-7437
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- February 13, 2026
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- New Jersey #25MB12482000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528448115. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
533
Distinct HCPCS
6
Medicare allowed
$93,215
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 371 | 343 | $199 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 69 | 47 | $137 | |
99497 |
Advance care planning, first 30 minutes | 50 | 48 | $87 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $151 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 13 | 12 | $91 | |
99239 |
Hospital discharge day management, more than 30 minutes | 12 | 12 | $133 |
In context: peer comparison
Among 32 peers in this city , average services per provider: 171. This provider delivers 3.1× the peer median.Frequently asked questions
What is Dr. Pranay Shah's medical specialty?
Dr. Pranay Shah practices Internal Medicine Physician in Toms River, NJ.
Where does Dr. Pranay Shah practice?
Dr. Pranay Shah practices at 99 Rte 37 W, Toms River, NJ 087556423. Office phone: 9082177437.
What is Dr. Pranay Shah's NPI?
Dr. Pranay Shah's National Provider Identifier (NPI) is 1528448115, issued by NPPES.
Does Dr. Pranay Shah accept Medicare assignment?
Yes. Dr. Pranay Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pranay Shah commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with moderate level of medical decision making (HCPCS 99223); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Advance care planning (HCPCS 99497). Source: CMS Medicare Physician & Other Practitioners file.