Derek S. Shia, MD
Adult Reconstructive Orthopaedic Surgery Physician · Hamden, CT
Derek S. Shia, MD is an adult reconstructive orthopaedic surgery physician with a practice address in Hamden, Connecticut, and NPI 1861600165, issued on May 18, 2007. Check the license (Connecticut 50534, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Derek S. Shia
- Credential
- MD
- Primary taxonomy
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License number
- 50534 CT
Self-reported in NPPES; status is on the state search - Practice location
- 9 Washington Ave FL 1A, Hamden, CT 06518
- Phone
- (203) 865-6784
- Enumerated
- May 18, 2007
- Record last updated
- May 18, 2026
- Fax
- (203) 865-6788
- Medicare enrollment
- Enrolled (PECOS I20120613000568); accepts Medicare assignment
- Medical or professional school
- Georgetown University School Of Medicine, 2003
- Entity
- Type 1 · individual
8 nearest adult reconstructive orthopaedic surgery physician records → All 18 in Connecticut → Look up another NPI →
Also registered at 9 Washington Ave FL 1A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Adriana Blanco, M.D.Rheumatology Physician1558363390
- Kristin Cozzi, DPTPhysical Therapist1912452798
- Jaclyn Francis, PA-CPhysician Assistant1457357956
- Jacqueline Murray, APRNNurse Practitioner1821533217
- Alan Reznik, M.D.Sports Medicine (Orthopaedic Surgery) Physician1275539785
- Shirvinda Wijesekera, M.D.Orthopaedic Surgery of the Spine Physician1073519583
Verify Derek S. Shia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 50534Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
22% more Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024
708 Medicare Part D claims for 236 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. 136 claims were for opioids.
Most prescribed
- Gabapentin97 claims
- Oxycodone Hcl88 claims
- Meloxicam86 claims
- Naproxen80 claims
- Ondansetron Hcl78 claims
- Methylprednisolone52 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 82.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $814.45
7 payments; by number, the most common kind was food and beverage; the largest payer was Medacta USA, Inc. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Connecticut Orthopaedic Specialists PCHamden, CT
- Rehabilitation Associates IncShelton, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Derek S. Shia among 18 adult reconstructive orthopaedic surgery physician records in Connecticut
Derek S. Shia, MD is one of 18 adult reconstructive orthopaedic surgery physician records with a practice address in Connecticut. 94% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 28% of them.
- NPI issued2007 · 28% of these records are older, 56% newer
- In a Medicare fileYes · 94% of these records are
- In the CMS Doctors and Clinicians fileYes · 89% of these records are
- Graduated2003 · median 2003 among the 16 with a school on file
- Record last updated2026 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Reconstructive Orthopaedic Surgery Physician providers in Connecticut
There are 18 adult reconstructive orthopaedic surgery physician records in Connecticut.
All 18 in Connecticut → Every provider in Hamden → Adult Reconstructive Orthopaedic Surgery Physician nationwide →
The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes
- Aidin Eslam Pour, MDWest Haven, CT 065161821114604
- Harrison YoungNew Haven, CT 065111447076864
- Elie Mansour, MDNew Haven, CT 065101831760164
- Ryan Charette, M.D.Wallingford, CT 064921396130639
- Jenna Bernstein, MDTrumbull, CT 066111689093775
- Peter Boone, M.D.Trumbull, CT 066111093741654
- Christopher Lynch, M.D.Branford, CT 064051952307456
- Philip Minotti, M.D.Branford, CT 064051346237500
Common questions
What is Derek S. Shia, MD's NPI number?
Derek S. Shia, MD's National Provider Identifier (NPI) is 1861600165, issued on May 18, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Derek S. Shia, MD located?
The NPPES record lists a practice address at 9 Washington Ave FL 1A, Hamden, CT, 06518. Phone: (203) 865-6784. Providers update this record themselves, so call before visiting.
How can I verify Derek S. Shia, MD's license?
NPPES lists Connecticut license number 50534, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Derek S. Shia, MD prescribe under Medicare Part D?
In 2024, Derek S. Shia, MD had 708 Medicare Part D claims for 236 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.
What is Derek S. Shia, MD's MIPS final score?
The 2023 MIPS final score is 82.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.