2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1831326479 D.O.
Verify on CMS →

Ashish Shah, D.O.

Clinical Cardiac Electrophysiology Physician in Laguna Hills, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,580 in Clinical Cardiac Electrophysiology 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
1K
Medicare Part D claims · 225 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$24.5K
115 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Ashish Shah, D.O. reported a CMS MIPS final score of 75.8/100 - below the 83.5 national average - and filed 1,224 Medicare Part D claims in 2023.

75.8/100
MIPS score · -8 vs avg
1K
Part D claims, 2023
67%
generic prescribing
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.

Federal trust snapshot

What official records show about Ashish Shah, D.O.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1831326479), first enumerated 06/21/2009.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,224 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 75.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $24.5K in reported industry payments (115 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Ashish Shah, D.O.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1831326479 · Clinical Cardiac Electrophysiology Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1831326479
  • ENUM-MID 2009
  • TAX-NARROW 1,580
  • MIPS-BELOW 75.8/100
  • RX-MID 1,224
  • BOOK-THIN 132 in California
  • PHOTO-FINISH David Feigenblum · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Ashish Shah, D.O.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

76 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ashish Shah, D.O. sits

This provider among clinical cardiac electrophysiology physician peers

Across the 591 clinical cardiac electrophysiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ashish Shah, D.O. writes more Part D claims than 53% of them and scores higher on MIPS quality than 13% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Ashish Shah, D.O., Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 13
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one clinical cardiac electrophysiology physician peer from a representative sample of 60; the gold marker is Ashish Shah, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Ashish Shah, D.O. 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 Ashish Shah, D.O.?

Below national average

NPI registry status

Active

Issued 06/21/2009

NPI 1831326479

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,580 US NPIs in this specialty

Medicare Part D claims

1,224 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

75.8/100 7.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in California

How Clinical Cardiac Electrophysiology Physician compares to other specialties among California providers

California providers
Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Heal…5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Clinical Cardiac Electrophys…0%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Ashish Shah, D.O.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

Below national average
MIPS Final Score
75.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%75.8%
MIPS final score (Clinical Cardiac Electrophysiology Physician) - 75.8/100 vs national avg 83.5
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).

Practice Address

24411 HEALTH CENTER DR
Laguna Hills, CA 92653

Provider Details

NPI 1831326479
Specialty Clinical Cardiac Electrophysiology Physician
Credentials D.O.
Gender Male
NPI Issued 06/21/2009

CMS Quality Score (MIPS)

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

75.8227
Final Score
Measured-score avg: 83.5
65.209
Quality
65.7971
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ashish Shah, D.O. 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.

South Orange County Cardiology Grp
Laguna Hills, CA

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 Ashish Shah, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$24.5K

Largest payer

Medical Device Business Services, 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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Ashish Shah, D.O.. To verify Ashish Shah, D.O.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Ashish Shah, D.O. - brand share 33.0%
Clinical Cardiac Electrophysiology Physician average

33% brand-name claims vs 67% generic, on 1,224 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

1,224
Total Claims
$411K
Total Drug Cost
225
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,800
Total Day Supply
83,566
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$389K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.62
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What Ashish Shah, D.O. 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
Eliquis
Apixaban
154
Xarelto
Rivaroxaban
119
Losartan Potassium
105
Atorvastatin Calcium
94
Metoprolol Succinate
91
Flecainide Acetate
60
Furosemide
58
Amiodarone Hcl
55
Carvedilol
46
Entresto
Sacubitril/Valsartan
41

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

Clinical Cardiac Electrophysiology Physician Overview

How Ashish Shah, D.O. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,580
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

Ashish Shah, D.O.'s 1,224 claims are below the specialty average of 1,596.

Nationwide Clinical Cardiac Electrophysiology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Shah, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75.8 here).

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Clinical Cardiac Electrophysiology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Shah.

One of 132 Clinical Cardiac Electrophysiology Physician providers enrolled in California, 5 are shown here.

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Ashish Shah, D.O.'s specialty?
Ashish Shah, D.O. specializes in Clinical Cardiac Electrophysiology Physician and practices in Laguna Hills, California. Credentials: D.O..
How much does Ashish Shah, D.O. prescribe under Medicare Part D?
In 2023, Ashish Shah, D.O. wrote 1,224 Medicare Part D claims totaling $411K in drug costs for 225 beneficiaries.
What is Ashish Shah, D.O.'s Medicare quality score?
Ashish Shah, D.O. has a CMS MIPS Final Score of 75.8/100 (Quality: 65.2, Cost: 65.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ashish Shah, D.O. located?
Ashish Shah, D.O. is located at 24411 HEALTH CENTER DR, Laguna Hills, CA, 92653. Phone: (949) 770-6252.
What is Ashish Shah, D.O.'s NPI number?
Ashish Shah, D.O.'s National Provider Identifier (NPI) is 1831326479, issued on 06/21/2009.
Does Ashish Shah, D.O. prescribe more brand-name or generic drugs?
Ashish Shah, D.O.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $389K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,580 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does Ashish Shah, D.O. prescribe most often?
Based on 2023 Medicare Part D data, Ashish Shah, D.O.'s most frequently prescribed drugs include Eliquis, Xarelto, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ashish Shah, D.O. accept Medicare?
Ashish Shah, D.O. appears in CMS Medicare data with 1,224 Part D claims and 225 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ashish Shah, D.O.'s credentials?
Ashish Shah, D.O.'s NPI is 1831326479 with credentials D.O.. 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

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.