Atit Shah, MD
Anesthesiology Physician in Sheboygan, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 56,432 in Anesthesiology 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Atit Shah, MD reported a CMS MIPS final score of 97.3/100 - above the 83.1 national average - and filed 2,354 Medicare Part D claims in 2023.
- 97.3/100
- MIPS score · +14 vs avg
- 2K
- Part D claims, 2023
- 83%
- 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.
Atit Shah, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% 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 Atit Shah, MD sits
This provider among anesthesiology physician peers
Across the 1,666 anesthesiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Atit Shah, MD writes more Part D claims than 78% of them and scores higher on MIPS quality than 88% - placing this provider in the high-volume, high-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 anesthesiology physician peer from a representative sample of 60; the gold marker is Atit Shah, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Atit Shah, MD 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 Atit Shah, MD?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Wisconsin
How Anesthesiology Physician compares to other specialties among Wisconsin providers
Anesthesiology Physician ranks #29 among Wisconsin's specialties (1.1% of in-state providers)
Each bar is a specialty's share of the Wisconsin provider total, by primary NUCC taxonomy. The highlighted bar is Anesthesiology Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Atit Shah, MD's 2023 MIPS final score plotted against the Anesthesiology Physician national average
- MIPS Final Score
- 97.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Anesthesiology Physician) - 97.3/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Anesthesiology Physician US NPIs
97.3/100 MIPS final score - 14.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Anesthesiology Physician. Quality dim: 88.8.
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).
Atit Shah, MD appears in the CMS NPPES registry as an Anesthesiology Physician provider holding MD credentials at 2124 KOHLER MEMORIAL DR STE 110, Sheboygan, WI, 53081, with a listed phone of (920) 204-6758. NPI 1487881108 was issued on 06/20/2009.
Medicare Part D records for calendar year 2023 show 2,354 prescription claims written by this provider, covering 367 Medicare beneficiaries and totaling roughly $326K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 53.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.3/100 for the 2023 performance year (Quality 88.8), compared with the national average of 83.1.
Anesthesiology Physician is a high-volume specialty nationwide, with 56,432 enrolled providers across 56 states and an average of 860 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 | 1487881108 |
|---|---|
| Specialty | Anesthesiology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/20/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Atit Shah, MD's current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1487881108 is the unique 10-digit identifier CMS uses to link Shah across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Atit Shah, MD 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.
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 Atit Shah, MD. Source: openpaymentsdata.cms.gov.
Total received
$47.2K
Largest payer
SI-BONE, 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.
Brand vs generic prescribing mix · Typical
17% brand-name claims vs 83% generic, on 2,354 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.
Prescribing Breakdown
- 30-Day Fills
- 2,562
- Total Day Supply
- 66,888
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $256K
- Generic Drug Cost
- $70K
- Opioid Claims
- 1,248 (53.0% rate)
- Antibiotic Claims
- 63
Patient Demographics
- Average Patient Age
- 65.8 years
- Avg HCC Risk Score
- 1.87
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 154, 65-74: 126, 75-84: 69, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Atit Shah, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
377 claims
- Gabapentin
Gabapentin
188 claims
- Pregabalin
Pregabalin
162 claims
- Belbuca
Belbuca
156 claims
- Tramadol Hcl 149
Tramadol Hcl
149 claims
- Oxycodone-Acetamin… 114
Oxycodone-Acetaminophen
114 claims
- Tizanidine Hcl 100
Tizanidine Hcl
100 claims
- Buprenorphine 97
Buprenorphine
97 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 377 |
| Gabapentin | 188 |
| Pregabalin | 162 |
| Belbuca Buprenorphine Hcl | 156 |
| Tramadol Hcl | 149 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 114 |
| Tizanidine Hcl | 100 |
| Buprenorphine | 97 |
| Morphine Sulfate Er Morphine Sulfate | 88 |
| Cyclobenzaprine Hcl | 84 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Anesthesiology Physician Overview
How Atit Shah, MD fits within the Anesthesiology Physician landscape nationally.
Atit Shah, MD's 2,354 claims are above the specialty average of 860.
Nearby Anesthesiology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Shah.
Compare Anesthesiology 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Anesthesiology 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
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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.
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