2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1578692489 MD
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HEMAL SHAH, MD

Clinical Cardiac Electrophysiology Physician in CINCINNATI, Ohio. 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
3K
Medicare Part D claims · 584 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$5.6K
65 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEMAL SHAH, MD reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 2,637 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
3K
Part D claims, 2023
81%
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.

HEMAL 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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

HEMAL 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 HEMAL SHAH, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/05/2007

NPI 1578692489

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

2,637 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

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

Ohio providers

Clinical Cardiac Electrophysiology Physician share within Ohio

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Ohio

Medicare quality performance — MIPS

HEMAL SHAH, MD's 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 90.3837/100 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).

HEMAL SHAH, MD appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding MD credentials at 10506A MONTGOMERY RD, CINCINNATI, OH, 45242, with a listed phone of (513) 246-2400. NPI 1578692489 was issued on 03/05/2007. 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 2,637 prescription claims written by this provider, covering 584 Medicare beneficiaries and totaling roughly $475K in drug spend, split 19% brand-name and 81% generic by claim count. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

10506A MONTGOMERY RD
CINCINNATI, OH 45242

Provider Details

NPI 1578692489
Specialty Clinical Cardiac Electrophysiology Physician
Credentials MD
Gender Male
NPI Issued 03/05/2007

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HEMAL 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.

TRIHEALTH H LLC
LEBANON, OH

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

Total received

$5.6K

Largest payer

Abbott Laboratories

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to HEMAL SHAH, MD. To verify HEMAL SHAH, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HEMAL SHAH, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 2,637 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.

2,637
Total Claims
$475K
Total Drug Cost
584
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,485
Total Day Supply
161,930
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$437K
Generic Drug Cost
$38K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.62
Gender Split
48% female / 52% male
Age Distribution
<65: 31, 65-74: 239, 75-84: 225, 85+: 89

Top Prescribed Drugs (Medicare Part D)

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

What HEMAL 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
Eliquis
Apixaban
215
Metoprolol Succinate
174
Sotalol
Sotalol Hcl
164
Warfarin Sodium
155
Amiodarone Hcl
151
Furosemide
136
Entresto
Sacubitril/Valsartan
104
Lisinopril
101
Spironolactone
96
Atorvastatin Calcium
86

* 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 HEMAL SHAH, MD fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

HEMAL SHAH, MD's 2,637 claims are above the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Ohio

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

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

Frequently Asked Questions

What is HEMAL SHAH, MD's specialty?
HEMAL SHAH, MD specializes in Clinical Cardiac Electrophysiology Physician and practices in CINCINNATI, Ohio. Credentials: MD.
How much does HEMAL SHAH, MD prescribe under Medicare Part D?
In 2023, HEMAL SHAH, MD wrote 2,637 Medicare Part D claims totaling $475K in drug costs for 584 beneficiaries.
What is HEMAL SHAH, MD's Medicare quality score?
HEMAL SHAH, MD has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEMAL SHAH, MD located?
HEMAL SHAH, MD is located at 10506A MONTGOMERY RD, CINCINNATI, OH, 45242. Phone: (513) 246-2400.
What is HEMAL SHAH, MD's NPI number?
HEMAL SHAH, MD's National Provider Identifier (NPI) is 1578692489, issued on 03/05/2007.
Does HEMAL SHAH, MD prescribe more brand-name or generic drugs?
HEMAL SHAH, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $437K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 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 HEMAL SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, HEMAL SHAH, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Sotalol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEMAL SHAH, MD accept Medicare?
HEMAL SHAH, MD appears in CMS Medicare data with 2,637 Part D claims and 584 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEMAL SHAH, MD's credentials?
HEMAL SHAH, MD's NPI is 1578692489 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