2026 NPPES data Rheumatology Physician NPI 1730592437 M.D.
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JUSTINE SHUM, M.D.

Rheumatology Physician in NOVATO, California. 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
662
Medicare Part D claims · 152 beneficiaries · Rheumatology Physician avg: 2K

What the federal data shows

JUSTINE SHUM, M.D. filed 662 Medicare Part D claims in 2023 as a Rheumatology Physician in NOVATO, California.

662
Part D claims, 2023

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.

JUSTINE SHUM, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

662 Top 31% higher than 69% 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%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 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-eligible specialty (heuristic — not verified)

JUSTINE SHUM, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JUSTINE SHUM, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/10/2014

NPI 1730592437

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

662 68% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in California

How Rheumatology Physician compares to other specialties among California providers

California providers

Rheumatology Physician share within California

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

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology 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).

JUSTINE SHUM, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 75 ROWLAND WAY STE 101, NOVATO, CA, 94945, with a listed phone of (415) 464-9604. NPI 1730592437 was issued on 06/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHUM 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 662 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $347K 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

75 ROWLAND WAY STE 101
NOVATO, CA 94945

Provider Details

NPI 1730592437
Specialty Rheumatology Physician
Credentials M.D.
Gender Female
NPI Issued 06/10/2014

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JUSTINE SHUM, M.D.. To verify JUSTINE SHUM, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

662
Total Claims
$347K
Total Drug Cost
152
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,413
Total Day Supply
41,815
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.40
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What JUSTINE SHUM, M.D. 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
Prednisone
157
Hydroxychloroquine Sulfate
125
Celecoxib
61
Allopurinol
57
Methotrexate
Methotrexate Sodium
48
Azathioprine
20
Folic Acid
19
Duloxetine Hcl
17
Gabapentin
15
Alendronate Sodium
14

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

Rheumatology Physician Overview

How JUSTINE SHUM, M.D. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

JUSTINE SHUM, M.D.'s 662 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in California

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTINE SHUM, M.D.'s specialty?
JUSTINE SHUM, M.D. specializes in Rheumatology Physician and practices in NOVATO, California. Credentials: M.D..
How much does JUSTINE SHUM, M.D. prescribe under Medicare Part D?
In 2023, JUSTINE SHUM, M.D. wrote 662 Medicare Part D claims totaling $347K in drug costs for 152 beneficiaries.
Where is JUSTINE SHUM, M.D. located?
JUSTINE SHUM, M.D. is located at 75 ROWLAND WAY STE 101, NOVATO, CA, 94945. Phone: (415) 464-9604.
What is JUSTINE SHUM, M.D.'s NPI number?
JUSTINE SHUM, M.D.'s National Provider Identifier (NPI) is 1730592437, issued on 06/10/2014.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does JUSTINE SHUM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JUSTINE SHUM, M.D.'s most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTINE SHUM, M.D. accept Medicare?
JUSTINE SHUM, M.D. appears in CMS Medicare data with 662 Part D claims and 152 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTINE SHUM, M.D.'s credentials?
JUSTINE SHUM, M.D.'s NPI is 1730592437 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

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