2026 NPPES data Sleep Medicine (Family Medicine) Physician NPI 1578666764 MD
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HIMANSHU SHAH, MD

Sleep Medicine (Family Medicine) Physician in MILLBURN, New Jersey. 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
2K
Medicare Part D claims · 291 beneficiaries · Sleep Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$326.65
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HIMANSHU SHAH, MD filed 1,604 Medicare Part D claims in 2023 as a Sleep Medicine (Family Medicine) Physician in MILLBURN, New Jersey, prescribing 48% generic.

2K
Part D claims, 2023
48%
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.

HIMANSHU SHAH, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,604 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

HIMANSHU SHAH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 HIMANSHU SHAH, MD?

Quality data not reported

NPI registry status

Active

Issued 09/06/2006

NPI 1578666764

Primary specialty

Sleep Medicine (Family Medicine) Physician

Rare

190 US NPIs in this specialty

Medicare Part D claims

1,604 7% vs specialty avg

2023 prescription claims

Specialty avg: 1,506

Specialty distribution in New Jersey

How Sleep Medicine (Family Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers

Sleep Medicine (Family Medicine) Physician share within New Jersey

1. Sleep Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Family Medicine) Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Family Medicine) Physician) — ABMS / AOA estimate

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).

HIMANSHU SHAH, MD appears in the CMS NPPES registry as a Sleep Medicine (Family Medicine) Physician provider holding MD credentials at 96 MILLBURN AVE, MILLBURN, NJ, 07041, with a listed phone of (973) 763-6800. NPI 1578666764 was issued on 09/06/2006. 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 1,604 prescription claims written by this provider, covering 291 Medicare beneficiaries and totaling roughly $650K in drug spend, split 52% brand-name and 48% 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.

Sleep Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 190 enrolled providers across 45 states and an average of 1,506 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

96 MILLBURN AVE
MILLBURN, NJ 07041

Provider Details

NPI 1578666764
Specialty Sleep Medicine (Family Medicine) Physician
Credentials MD
Gender Male
NPI Issued 09/06/2006

Hospital and facility affiliations

Facilities where HIMANSHU 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.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ

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

Total received

$327

Largest payer

GlaxoSmithKline, LLC.

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 · Brand-heavy

HIMANSHU SHAH, MD — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 1,604 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.

1,604
Total Claims
$650K
Total Drug Cost
291
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,496
Total Day Supply
71,025
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$615K
Generic Drug Cost
$35K
Antibiotic Claims
61

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.90
Gender Split
65% female / 35% male
Age Distribution
<65: 26, 65-74: 115, 75-84: 117, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What HIMANSHU 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
Albuterol Sulfate Hfa
Albuterol Sulfate
343
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
216
Breo Ellipta
Fluticasone/Vilanterol
126
Fluticasone Propionate
103
Prednisone
90
Montelukast Sodium
72
Advair Diskus
Fluticasone Propion/Salmeterol
46
Symbicort
Budesonide/Formoterol Fumarate
43
Flovent Hfa
Fluticasone Propionate
37
Ventolin Hfa
Albuterol Sulfate
31

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

Sleep Medicine (Family Medicine) Physician Overview

How HIMANSHU SHAH, MD fits within the Sleep Medicine (Family Medicine) Physician landscape nationally.

190
Sleep Medicine (Family Medicine) Physician Providers in US
45
States with Sleep Medicine (Family Medicine) Physician
1,506
Avg Claims per Provider

HIMANSHU SHAH, MD's 1,604 claims are above the specialty average of 1,506.

Nearby Sleep Medicine (Family Medicine) Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is HIMANSHU SHAH, MD's specialty?
HIMANSHU SHAH, MD specializes in Sleep Medicine (Family Medicine) Physician and practices in MILLBURN, New Jersey. Credentials: MD.
How much does HIMANSHU SHAH, MD prescribe under Medicare Part D?
In 2023, HIMANSHU SHAH, MD wrote 1,604 Medicare Part D claims totaling $650K in drug costs for 291 beneficiaries.
Where is HIMANSHU SHAH, MD located?
HIMANSHU SHAH, MD is located at 96 MILLBURN AVE, MILLBURN, NJ, 07041. Phone: (973) 763-6800.
What is HIMANSHU SHAH, MD's NPI number?
HIMANSHU SHAH, MD's National Provider Identifier (NPI) is 1578666764, issued on 09/06/2006.
Does HIMANSHU SHAH, MD prescribe more brand-name or generic drugs?
HIMANSHU SHAH, MD's prescribing is 52% brand-name and 48% generic drugs by claim count, with $615K in brand drug costs.
How many Sleep Medicine (Family Medicine) Physician providers are there in the US?
There are 190 Sleep Medicine (Family Medicine) Physician providers across 45 states in the US. The average Sleep Medicine (Family Medicine) Physician provider writes 1,506 Medicare Part D claims per year.
What drugs does HIMANSHU SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, HIMANSHU SHAH, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HIMANSHU SHAH, MD accept Medicare?
HIMANSHU SHAH, MD appears in CMS Medicare data with 1,604 Part D claims and 291 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HIMANSHU SHAH, MD's credentials?
HIMANSHU SHAH, MD's NPI is 1578666764 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.
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