2026 NPPES data Family Medicine Physician NPI 1861485930 MD
Verify on CMS →

DILIP SHAH, MD

Family Medicine Physician in GURNEE, Illinois. 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
540
Medicare Part D claims · 88 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
57.0012/100
▼ 26 pts below national avg 83.1 · [object Object]
Industry payments
$28.44
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DILIP SHAH, MD reported a CMS MIPS final score of 57.0012/100 — below the 83.1 national average — and filed 540 Medicare Part D claims in 2023.

57.0012/100
MIPS score · -26 vs avg
540
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.

DILIP 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

57 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

DILIP SHAH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 DILIP SHAH, MD?

Below national average

NPI registry status

Active

Issued 08/24/2005

NPI 1861485930

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

540 84% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

57.0012/100 26.098799999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Family Medicine Physician share within Illinois

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Illinois

Medicare quality performance — MIPS

DILIP SHAH, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
57.0012/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 57.0012/100 vs national avg 83.1

0%100%National avg83%57%
MIPS final score (Family Medicine Physician) — 57.0012/100 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).

DILIP SHAH, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1 S GREENLEAF ST, GURNEE, IL, 60031, with a listed phone of (847) 336-7424. NPI 1861485930 was issued on 08/24/2005. 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 540 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $59K in drug spend. 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 57.0012/100 for the 2023 performance year (Quality 15.5581, Cost 63.5233), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1 S GREENLEAF ST
GURNEE, IL 60031

Provider Details

NPI 1861485930
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/24/2005

CMS Quality Score (MIPS)

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

57.0012
Final Score
Avg: 83.1
15.5581
Quality
63.5233
Cost
100
Promoting Interoperability

Reporting: Group practice

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 DILIP SHAH, MD. Source: openpaymentsdata.cms.gov.

Total received

$28

Largest payer

Novo Nordisk 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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to DILIP SHAH, MD. To verify DILIP SHAH, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

540
Total Claims
$59K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,459
Total Day Supply
43,384
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
0.92
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 DILIP SHAH, MD 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
Atorvastatin Calcium
45
Amlodipine Besylate
42
Metformin Hcl
33
Metoprolol Succinate
33
Levothyroxine Sodium
30
Losartan Potassium
24
Carvedilol
15
Alendronate Sodium
13
Omeprazole
13
Rosuvastatin Calcium
12

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

Family Medicine Physician Overview

How DILIP SHAH, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

DILIP SHAH, MD's 540 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Illinois

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DILIP SHAH, MD's specialty?
DILIP SHAH, MD specializes in Family Medicine Physician and practices in GURNEE, Illinois. Credentials: MD.
How much does DILIP SHAH, MD prescribe under Medicare Part D?
In 2023, DILIP SHAH, MD wrote 540 Medicare Part D claims totaling $59K in drug costs for 88 beneficiaries.
What is DILIP SHAH, MD's Medicare quality score?
DILIP SHAH, MD has a CMS MIPS Final Score of 57.0012/100 (Quality: 15.5581, Cost: 63.5233). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DILIP SHAH, MD located?
DILIP SHAH, MD is located at 1 S GREENLEAF ST, GURNEE, IL, 60031. Phone: (847) 336-7424.
What is DILIP SHAH, MD's NPI number?
DILIP SHAH, MD's National Provider Identifier (NPI) is 1861485930, issued on 08/24/2005.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does DILIP SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, DILIP SHAH, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DILIP SHAH, MD accept Medicare?
DILIP SHAH, MD appears in CMS Medicare data with 540 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DILIP SHAH, MD's credentials?
DILIP SHAH, MD's NPI is 1861485930 with credentials MD. 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