NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1174694137 M.D.
Verify on CMS → Apurva Shah, M.D.
Hematology & Oncology Physician in Tifton, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,232 in Hematology & Oncology Physician, 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
2K
Medicare Part D claims · 204 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
78.4/100
▼ 5 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Apurva Shah, M.D. reported a CMS MIPS final score of 78.4/100 - below the 83.1 national average - and filed 1,721 Medicare Part D claims in 2023.
- 78.4/100
- MIPS score · -5 vs avg
- 2K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Apurva Shah, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 27th percentile higher than 27% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Apurva Shah, M.D. sits
This provider among hematology & oncology physician peers
Across the 4,233 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Apurva Shah, M.D. writes more Part D claims than 85% of them and scores higher on MIPS quality than 26% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology & oncology physician peer from a representative sample of 60; the gold marker is Apurva Shah, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Apurva 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).
What does the federal data show about Apurva Shah, M.D.?
Near national averagePrimary specialty
Hematology & Oncology Physician
Medicare Part D claims
1,721 103% vs specialty avg
MIPS final score
78.4/100 4.7 pts vs avg
Specialty distribution in Georgia
How Hematology & Oncology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Apurva Shah, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average
- MIPS Final Score
- 78.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology & Oncology Physician) - 78.4/100 vs national avg 83.1
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).
Apurva Shah, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 1623 MADISON AVE, Tifton, GA, 31794, with a listed phone of (229) 353-7720. NPI 1174694137 was issued on 11/13/2006.
Medicare Part D records for calendar year 2023 show 1,721 prescription claims written by this provider, covering 204 Medicare beneficiaries and totaling roughly $4.4 million in drug spend, with an opioid prescribing rate of 19.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.4/100 for the 2023 performance year (Quality 58.7, Cost 66.2), compared with the national average of 83.1.
Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,232 enrolled providers across 54 states and an average of 847 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
Provider Details
| NPI | 1174694137 |
|---|---|
| Specialty | Hematology & Oncology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.4148
Final Score
Avg: 83.1
58.6889
Quality
66.1501
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Apurva 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.
Tift Regional Health System Inc
Tifton, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,721
Total Claims
$4.4M
Total Drug Cost
204
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,018
- Total Day Supply
- 50,355
- Generic Drug Cost
- $268K
- Opioid Claims
- 342 (19.9% rate)
- Antibiotic Claims
- 57
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 2.40
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 26, 65-74: 103, 75-84: 55, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Apurva Shah, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
95 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
95 claims
- Fentanyl
Fentanyl
68 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
68 claims
- Acyclovir
Acyclovir
66 claims
- Omeprazole
Omeprazole
64 claims
- Letrozole
Letrozole
57 claims
- Prochlorperazine M…
Prochlorperazine Maleate
53 claims
| Drug | Claims |
|---|---|
| Gabapentin | 95 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 95 |
| Fentanyl | 68 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 68 |
| Acyclovir | 66 |
| Omeprazole | 64 |
| Letrozole | 57 |
| Prochlorperazine Maleate | 53 |
| Oxycodone Hcl | 46 |
| Tamoxifen Citrate | 44 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology & Oncology Physician Overview
How Apurva Shah, M.D. fits within the Hematology & Oncology Physician landscape nationally.
11,232
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider
Apurva Shah, M.D.'s 1,721 claims are above the specialty average of 847.
Nearby Hematology & Oncology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Shah.
Dr. Bamidele Adesunloye
MD
Newnan, GA
Dr. Shubham Adroja
M.D.
Augusta, GA
Dr. Simbo Aduloju
M.D
Decatur, GA
Dr. Victoria Afshani
MD
Covington, GA
Dr. Arvind Aggarwal
M.D.
Macon, GA
Compare Hematology & Oncology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology & Oncology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Apurva Shah, M.D.'s specialty? ▼
Apurva Shah, M.D. specializes in Hematology & Oncology Physician and practices in Tifton, Georgia. Credentials: M.D..
How much does Apurva Shah, M.D. prescribe under Medicare Part D? ▼
In 2023, Apurva Shah, M.D. wrote 1,721 Medicare Part D claims totaling $4.4M in drug costs for 204 beneficiaries.
What is Apurva Shah, M.D.'s Medicare quality score? ▼
Apurva Shah, M.D. has a CMS MIPS Final Score of 78.4/100 (Quality: 58.7, Cost: 66.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Apurva Shah, M.D. located? ▼
Apurva Shah, M.D. is located at 1623 MADISON AVE, Tifton, GA, 31794. Phone: (229) 353-7720.
What is Apurva Shah, M.D.'s NPI number? ▼
Apurva Shah, M.D.'s National Provider Identifier (NPI) is 1174694137, issued on 11/13/2006.
Does Apurva Shah, M.D. prescribe opioids? ▼
Yes, Apurva Shah, M.D. had 342 opioid claims in 2023 with an opioid prescribing rate of 19.9%.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,232 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does Apurva Shah, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Apurva Shah, M.D.'s most frequently prescribed drugs include Gabapentin, Oxycodone-Acetaminophen, Fentanyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Apurva Shah, M.D. accept Medicare? ▼
Apurva Shah, M.D. appears in CMS Medicare data with 1,721 Part D claims and 204 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Apurva Shah, M.D.'s credentials? ▼
Apurva Shah, M.D.'s NPI is 1174694137 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.