2026 NPPES data Obesity Medicine (Preventive Medicine) Physician NPI 1659356715 MD
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KAUSHAL SHAH, MD

Obesity Medicine (Preventive Medicine) Physician in MONROE, New York. 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 · 237 beneficiaries · Obesity Medicine (Preventive Medicine) Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$300.54
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAUSHAL SHAH, MD filed 2,651 Medicare Part D claims in 2023 as a Obesity Medicine (Preventive Medicine) Physician in MONROE, New York, prescribing 94% generic.

3K
Part D claims, 2023
94%
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.

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

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

2,651 Top 13% higher than 87% 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%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

KAUSHAL 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 KAUSHAL SHAH, MD?

Quality data not reported

NPI registry status

Active

Issued 12/13/2005

NPI 1659356715

Primary specialty

Obesity Medicine (Preventive Medicine) Physician

Rare

126 US NPIs in this specialty

Medicare Part D claims

2,651 117% vs specialty avg

2023 prescription claims

Specialty avg: 1,219

Specialty distribution in New York

How Obesity Medicine (Preventive Medicine) Physician compares to other specialties among New York providers

New York providers

Obesity Medicine (Preventive Medicine) Physician share within New York

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

Specialty board-certification context

Estimated specialty board-certified rate — Obesity Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

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

Est. board-certified rate (Obesity Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obesity Medicine (Preventive 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).

KAUSHAL SHAH, MD is a Obesity Medicine (Preventive Medicine) Physician provider practicing in MONROE, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1659356715. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KAUSHAL SHAH, MD appears in the CMS NPPES registry as a Obesity Medicine (Preventive Medicine) Physician provider holding MD credentials at 475 STATE ROUTE 17M, MONROE, NY, 10950, with a listed phone of (845) 333-7830. NPI 1659356715 was issued on 12/13/2005. 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 2,651 prescription claims written by this provider, covering 237 Medicare beneficiaries and totaling roughly $163K in drug spend, split 6% brand-name and 94% 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.

Obesity Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 126 enrolled providers across 35 states and an average of 1,219 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

475 STATE ROUTE 17M
MONROE, NY 10950

Provider Details

NPI 1659356715
Specialty Obesity Medicine (Preventive Medicine) Physician
Credentials MD
Gender Male
NPI Issued 12/13/2005

Hospital and facility affiliations

Facilities where KAUSHAL 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.

GARNET HEALTH DOCTORS PC
MIDDLETOWN, NY

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

Total received

$301

Largest payer

Boehringer Ingelheim Pharmaceuticals, 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to KAUSHAL SHAH, MD. To verify KAUSHAL SHAH, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

KAUSHAL SHAH, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 2,651 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.

2,651
Total Claims
$163K
Total Drug Cost
237
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,714
Total Day Supply
169,352
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$114K
Generic Drug Cost
$48K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.22
Gender Split
54% female / 46% male
Age Distribution
<65: 21, 65-74: 117, 75-84: 75, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
450
Losartan Potassium
227
Amlodipine Besylate
153
Levothyroxine Sodium
141
Rosuvastatin Calcium
108
Metformin Hcl
78
Omeprazole
75
Tamsulosin Hcl
74
Metformin Hcl Er
Metformin Hcl
71
Metoprolol Succinate
65

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

Obesity Medicine (Preventive Medicine) Physician Overview

How KAUSHAL SHAH, MD fits within the Obesity Medicine (Preventive Medicine) Physician landscape nationally.

126
Obesity Medicine (Preventive Medicine) Physician Providers in US
35
States with Obesity Medicine (Preventive Medicine) Physician
1,219
Avg Claims per Provider

KAUSHAL SHAH, MD's 2,651 claims are above the specialty average of 1,219.

Nearby Obesity Medicine (Preventive Medicine) Physician Providers in New York

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

Compare Obesity Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAUSHAL SHAH, MD's specialty?
KAUSHAL SHAH, MD specializes in Obesity Medicine (Preventive Medicine) Physician and practices in MONROE, New York. Credentials: MD.
How much does KAUSHAL SHAH, MD prescribe under Medicare Part D?
In 2023, KAUSHAL SHAH, MD wrote 2,651 Medicare Part D claims totaling $163K in drug costs for 237 beneficiaries.
Where is KAUSHAL SHAH, MD located?
KAUSHAL SHAH, MD is located at 475 STATE ROUTE 17M, MONROE, NY, 10950. Phone: (845) 333-7830.
What is KAUSHAL SHAH, MD's NPI number?
KAUSHAL SHAH, MD's National Provider Identifier (NPI) is 1659356715, issued on 12/13/2005.
Does KAUSHAL SHAH, MD prescribe more brand-name or generic drugs?
KAUSHAL SHAH, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $114K in brand drug costs.
How many Obesity Medicine (Preventive Medicine) Physician providers are there in the US?
There are 126 Obesity Medicine (Preventive Medicine) Physician providers across 35 states in the US. The average Obesity Medicine (Preventive Medicine) Physician provider writes 1,219 Medicare Part D claims per year.
What drugs does KAUSHAL SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, KAUSHAL SHAH, MD's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAUSHAL SHAH, MD accept Medicare?
KAUSHAL SHAH, MD appears in CMS Medicare data with 2,651 Part D claims and 237 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAUSHAL SHAH, MD's credentials?
KAUSHAL SHAH, MD's NPI is 1659356715 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