2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1215938402 M.D
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ALPESH SHAH, M.D

Sports Medicine (Orthopaedic Surgery) Physician in ROCKVILLE CENTRE, New York. 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
224
Medicare Part D claims · 185 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$781.98
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ALPESH SHAH, M.D is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in ROCKVILLE CENTRE, New York with a Medicare Part D prescribing footprint of 224 claims across 185 beneficiaries . Their CMS MIPS Final Score of 91.2532/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $781.98 across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ALPESH SHAH, M.D reported a CMS MIPS final score of 91.2532 out of 100, above the 83.1 national average, and filed 224 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALPESH SHAH, 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).

ALPESH SHAH, M.D at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/10/2005

NPI 1215938402

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

224 19% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among New York providers

New York providers

Sports Medicine (Orthopaedic Surgery) Physician share within New York

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within New York

Medicare quality performance — MIPS

ALPESH SHAH, M.D's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 91.2532/100 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).

ALPESH SHAH, M.D is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in ROCKVILLE CENTRE, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1215938402. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALPESH SHAH, M.D appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D credentials at 36 LINCOLN AVE, ROCKVILLE CENTRE, NY, 11570, with a listed phone of (516) 536-2800. NPI 1215938402 was issued on 08/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH 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 224 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 10.7%. 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 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

36 LINCOLN AVE
ROCKVILLE CENTRE, NY 11570

Provider Details

NPI 1215938402
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D
Gender Male
NPI Issued 08/10/2005

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ALPESH SHAH, 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.

TRUE NORTH MEDICAL GROUP PC
BOHEMIA, NY

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 ALPESH SHAH, M.D. Source: openpaymentsdata.cms.gov.

Total received

$782

Largest payer

Arthrex, 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.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ALPESH SHAH, M.D. To verify ALPESH SHAH, M.D's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

224
Total Claims
$2K
Total Drug Cost
185
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
226
Total Day Supply
4,093
Generic Drug Cost
$2K
Opioid Claims
24 (10.7% rate)

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
0.78
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
85
Methylprednisolone
75
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
20
Diclofenac Sodium
16
Cyclobenzaprine Hcl
12

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How ALPESH SHAH, M.D fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

ALPESH SHAH, M.D's 224 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as SHAH.

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALPESH SHAH, M.D's specialty?
ALPESH SHAH, M.D specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in ROCKVILLE CENTRE, New York. Credentials: M.D.
How much does ALPESH SHAH, M.D prescribe under Medicare Part D?
In 2023, ALPESH SHAH, M.D wrote 224 Medicare Part D claims totaling $2K in drug costs for 185 beneficiaries.
What is ALPESH SHAH, M.D's Medicare quality score?
ALPESH SHAH, M.D has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALPESH SHAH, M.D located?
ALPESH SHAH, M.D is located at 36 LINCOLN AVE, ROCKVILLE CENTRE, NY, 11570. Phone: (516) 536-2800.
What is ALPESH SHAH, M.D's NPI number?
ALPESH SHAH, M.D's National Provider Identifier (NPI) is 1215938402, issued on 08/10/2005.
Does ALPESH SHAH, M.D prescribe opioids?
Yes, ALPESH SHAH, M.D had 24 opioid claims in 2023 with an opioid prescribing rate of 10.7%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does ALPESH SHAH, M.D prescribe most often?
Based on 2023 Medicare Part D data, ALPESH SHAH, M.D's most frequently prescribed drugs include Meloxicam, Methylprednisolone, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALPESH SHAH, M.D accept Medicare?
ALPESH SHAH, M.D appears in CMS Medicare data with 224 Part D claims and 185 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALPESH SHAH, M.D's credentials?
ALPESH SHAH, M.D's NPI is 1215938402 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