NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1851343321 M.D.
Verify on CMS → Hiten Shah, M.D.
Critical Care Medicine (Internal Medicine) Physician in Marion, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,646 in Critical Care Medicine (Internal Medicine) 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
3K
Medicare Part D claims · 428 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
28%
generic claims · 72% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7/100
▲ 4 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Hiten Shah, M.D. reported a CMS MIPS final score of 87.7/100 - above the 83.5 national average - and filed 3,062 Medicare Part D claims in 2023.
- 87.7/100
- MIPS score · +4 vs avg
- 3K
- Part D claims, 2023
- 28%
- 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.
Hiten Shah, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
88 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Hiten Shah, M.D. sits
This provider among critical care medicine (internal medicine) physician peers
Across the 1,548 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hiten Shah, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 51% - 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 critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Hiten Shah, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Hiten Shah, M.D. 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 Hiten Shah, M.D.?
High performer (top quartile)Primary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
3,062 186% vs specialty avg
MIPS final score
87.7/100 4.2 pts vs avg
Specialty distribution in Ohio
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Hiten Shah, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 87.7/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 87.7/100 vs national avg 83.5
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).
Hiten Shah, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1040 DELAWARE AVE, Marion, OH, 43302, with a listed phone of (740) 375-8135. NPI 1851343321 was issued on 05/16/2006.
Medicare Part D records for calendar year 2023 show 3,062 prescription claims written by this provider, covering 428 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 72% brand-name and 28% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.7/100 for the 2023 performance year (Quality 74.5), compared with the 83.5 average among clinicians with a measured score.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,646 enrolled providers across 53 states and an average of 1,069 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 | 1851343321 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.6595
Final Score
Measured-score avg: 83.5
74.4518
Quality
96.0373
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Hiten Shah, M.D. 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.
Marion Area Physicians LLC
Marion, 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).
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 Hiten Shah, M.D.. To verify Hiten Shah, M.D.'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 · Brand-heavy
Hiten Shah, M.D. - brand share 72.0%
Critical Care Medicine (Internal Medicine) Physician average
72% brand-name claims vs 28% generic, on 3,062 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.
3,062
Total Claims
$1.1M
Total Drug Cost
428
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,833
- Total Day Supply
- 106,355
- Brand vs Generic
- 72% brand / 28% generic
- Brand Drug Cost
- $1.0M
- Generic Drug Cost
- $28K
- Antibiotic Claims
- 138
Patient Demographics
- Average Patient Age
- 68.5 years
- Avg HCC Risk Score
- 1.97
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 129, 65-74: 191, 75-84: 87, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Hiten Shah, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
692 claims
- Trelegy Ellipta
Trelegy Ellipta
417 claims
- Symbicort 246
Symbicort
246 claims
- Breo Ellipta 230
Breo Ellipta
230 claims
- Breztri Aerosphere 157
Breztri Aerosphere
157 claims
- Ventolin Hfa 132
Ventolin Hfa
132 claims
- Montelukast Sodium 106
Montelukast Sodium
106 claims
- Anoro Ellipta 96
Anoro Ellipta
96 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 692 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 417 |
| Symbicort Budesonide/Formoterol Fumarate | 246 |
| Breo Ellipta Fluticasone/Vilanterol | 230 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 157 |
| Ventolin Hfa Albuterol Sulfate | 132 |
| Montelukast Sodium | 106 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 96 |
| Methylprednisolone | 75 |
| Prednisone | 66 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in OH →
All providers in Ohio →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Hiten Shah, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,646
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider
Hiten Shah, M.D.'s 3,062 claims are above the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Shah.
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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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
What is Hiten Shah, M.D.'s specialty? ▼
Hiten Shah, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Marion, Ohio. Credentials: M.D..
How much does Hiten Shah, M.D. prescribe under Medicare Part D? ▼
In 2023, Hiten Shah, M.D. wrote 3,062 Medicare Part D claims totaling $1.1M in drug costs for 428 beneficiaries.
What is Hiten Shah, M.D.'s Medicare quality score? ▼
Hiten Shah, M.D. has a CMS MIPS Final Score of 87.7/100 (Quality: 74.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Hiten Shah, M.D. located? ▼
Hiten Shah, M.D. is located at 1040 DELAWARE AVE, Marion, OH, 43302. Phone: (740) 375-8135.
What is Hiten Shah, M.D.'s NPI number? ▼
Hiten Shah, M.D.'s National Provider Identifier (NPI) is 1851343321, issued on 05/16/2006.
Does Hiten Shah, M.D. prescribe more brand-name or generic drugs? ▼
Hiten Shah, M.D.'s prescribing is 72% brand-name and 28% generic drugs by claim count, with $1.0M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,646 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Hiten Shah, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Hiten Shah, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hiten Shah, M.D. accept Medicare? ▼
Hiten Shah, M.D. appears in CMS Medicare data with 3,062 Part D claims and 428 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hiten Shah, M.D.'s credentials? ▼
Hiten Shah, M.D.'s NPI is 1851343321 with credentials M.D.. 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
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.