2026 NPPES data Nephrology Physician NPI 1700881612 MD
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KIRTI SHAH, MD

Nephrology Physician in LAWRENCEVILLE, Georgia. 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 · 351 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.1419/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$482.49
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KIRTI SHAH, MD reported a CMS MIPS final score of 91.1419/100 — above the 83.1 national average — and filed 1,801 Medicare Part D claims in 2023.

91.1419/100
MIPS score · +8 vs avg
2K
Part D claims, 2023
88%
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.

KIRTI 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

91 Top 37% higher than 63% 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)

KIRTI 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 KIRTI SHAH, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/16/2005

NPI 1700881612

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,801 24% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

91.1419/100 8.041900000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Nephrology Physician compares to other specialties among Georgia providers

Georgia providers

Nephrology Physician share within Georgia

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

Medicare quality performance — MIPS

KIRTI SHAH, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
91.1419/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 91.1419/100 vs national avg 83.1

0%100%National avg83%91.1%
MIPS final score (Nephrology Physician) — 91.1419/100 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).

KIRTI SHAH, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 605 OLD NORCROSS RD, LAWRENCEVILLE, GA, 30045, with a listed phone of (770) 962-1231. NPI 1700881612 was issued on 06/16/2005. 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 1,801 prescription claims written by this provider, covering 351 Medicare beneficiaries and totaling roughly $339K in drug spend, split 12% brand-name and 88% 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 91.1419/100 for the 2023 performance year (Quality 87.4667, Cost 58.8697), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045

Provider Details

NPI 1700881612
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 06/16/2005

CMS Quality Score (MIPS)

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

91.1419
Final Score
Avg: 83.1
87.4667
Quality
58.8697
Cost
97
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where KIRTI 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.

KIDNEY HYPERTENSION CLINIC, PC
LAWRENCEVILLE, GA

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

Total received

$482

Largest payer

Amgen 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.

Brand vs generic prescribing mix · Typical

KIRTI SHAH, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,801 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.

1,801
Total Claims
$339K
Total Drug Cost
351
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,608
Total Day Supply
137,362
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$272K
Generic Drug Cost
$66K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
3.81
Gender Split
47% female / 53% male
Age Distribution
<65: 63, 65-74: 127, 75-84: 117, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What KIRTI 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
Amlodipine Besylate
109
Allopurinol
103
Carvedilol
85
Atorvastatin Calcium
78
Torsemide
74
Hydralazine Hcl
68
Calcitriol
66
Calcium Acetate
58
Losartan Potassium
56
Furosemide
52

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

Nephrology Physician Overview

How KIRTI SHAH, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

KIRTI SHAH, MD's 1,801 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is KIRTI SHAH, MD's specialty?
KIRTI SHAH, MD specializes in Nephrology Physician and practices in LAWRENCEVILLE, Georgia. Credentials: MD.
How much does KIRTI SHAH, MD prescribe under Medicare Part D?
In 2023, KIRTI SHAH, MD wrote 1,801 Medicare Part D claims totaling $339K in drug costs for 351 beneficiaries.
What is KIRTI SHAH, MD's Medicare quality score?
KIRTI SHAH, MD has a CMS MIPS Final Score of 91.1419/100 (Quality: 87.4667, Cost: 58.8697). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KIRTI SHAH, MD located?
KIRTI SHAH, MD is located at 605 OLD NORCROSS RD, LAWRENCEVILLE, GA, 30045. Phone: (770) 962-1231.
What is KIRTI SHAH, MD's NPI number?
KIRTI SHAH, MD's National Provider Identifier (NPI) is 1700881612, issued on 06/16/2005.
Does KIRTI SHAH, MD prescribe more brand-name or generic drugs?
KIRTI SHAH, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $272K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does KIRTI SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, KIRTI SHAH, MD's most frequently prescribed drugs include Amlodipine Besylate, Allopurinol, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KIRTI SHAH, MD accept Medicare?
KIRTI SHAH, MD appears in CMS Medicare data with 1,801 Part D claims and 351 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KIRTI SHAH, MD's credentials?
KIRTI SHAH, MD's NPI is 1700881612 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