Doctor profile · Federal record
Dr. Nirav Shah, MD
Family Medicine Physician (CMS: Hospitalist) · Utica, NY
- NPI 1922495696
- Accepts Medicare
- MIPS 77.0 / 100 · 2023
- 13 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1656 Champlin Ave
Utica, NY 135024830
(315) 624-6829
fax (315) 624-6469 - Mailing address
-
2209 Genesee St., Business Office
Utica, NY 135015930
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- September 28, 2018
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #295784
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922495696. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
590
Distinct HCPCS
5
Medicare allowed
$52,329
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 371 | 130 | $77 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 92 | 41 | $116 | |
99238 |
Hospital discharge day management, 30 minutes or less | 86 | 86 | $79 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 21 | $170 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 20 | $127 |
In context: peer comparison
Among 19 peers in Utica Family Medicine Physician, average services per provider: 122. This provider delivers 4.8× the peer median.Open Payments
Industry payments received
All-time total
$97
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, INC | 3 | $70.92 | |
| Edwards Lifesciences Corporation | 1 | $26.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
198
Patients
38
Total drug cost
$1,177
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 48 | 16 | $222 |
| Pantoprazole Sodium | Generic | 42 | 22 | $392 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 29 | 0 | $89 |
| Atorvastatin Calcium | Generic | 18 | 0 | $165 |
| Losartan Potassium | Generic | 18 | 0 | $61 |
| Furosemide | Generic | 16 | 0 | $92 |
| Metoprolol Succinate | Generic | 14 | 0 | $125 |
| Prednisone | Generic | 13 | 0 | $30 |
Hospital affiliations
Frequently asked questions
What is Dr. Nirav Shah's medical specialty?
Dr. Nirav Shah practices Family Medicine Physician in Utica, NY.
Where does Dr. Nirav Shah practice?
Dr. Nirav Shah practices at 1656 Champlin Ave, Utica, NY 135024830. Office phone: 3156246829.
What is Dr. Nirav Shah's NPI?
Dr. Nirav Shah's National Provider Identifier (NPI) is 1922495696, issued by NPPES.
Does Dr. Nirav Shah accept Medicare assignment?
Yes. Dr. Nirav Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nirav Shah commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99238). Source: CMS Medicare Physician & Other Practitioners file.