2026 NPPES data Hematology & Oncology Physician NPI 1174694137 M.D.
Verify on CMS →

APURVA SHAH, M.D.

Hematology & Oncology Physician in TIFTON, Georgia. 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
2K
Medicare Part D claims · 204 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
78.4148/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

APURVA SHAH, M.D. reported a CMS MIPS final score of 78.4148/100 — below the 83.1 national average — and filed 1,721 Medicare Part D claims in 2023.

78.4148/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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 average

NPI registry status

Active

Issued 11/13/2006

NPI 1174694137

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,721 103% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

78.4148/100 4.685199999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Hematology & Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Hematology & Oncology Physician share within Georgia

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Georgia

Medicare quality performance — MIPS

APURVA SHAH, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Near national average
MIPS Final Score
78.4148/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 78.4148/100 vs national avg 83.1

0%100%National avg83%78.4%
MIPS final score (Hematology & Oncology Physician) — 78.4148/100 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).

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. 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 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%. 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 78.4148/100 for the 2023 performance year (Quality 58.6889, Cost 66.1501), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 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

1623 MADISON AVE
TIFTON, GA 31794

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

11,215
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.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

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 78.4148/100 (Quality: 58.6889, Cost: 66.1501). 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 11,215 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

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