2026 NPPES data Pediatrics Physician NPI 1669601522 MD
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KRUPAL SHAH, MD

Pediatrics Physician in FALLS CHURCH, Virginia. 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
236
Medicare Part D claims · 93 beneficiaries · Pediatrics Physician avg: 762
MIPS score
81.283/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$111.15
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRUPAL SHAH, MD reported a CMS MIPS final score of 81.283/100 — below the 83.1 national average — and filed 236 Medicare Part D claims in 2023.

81.283/100
MIPS score · -2 vs avg
236
Part D claims, 2023
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.

KRUPAL 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

81 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

KRUPAL 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 KRUPAL SHAH, MD?

Near national average

NPI registry status

Active

Issued 07/13/2009

NPI 1669601522

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

236 69% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

81.283/100 1.816999999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Pediatrics Physician compares to other specialties among Virginia providers

Virginia providers

Pediatrics Physician share within Virginia

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

Medicare quality performance — MIPS

KRUPAL SHAH, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

Near national average
MIPS Final Score
81.283/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 81.283/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Pediatrics Physician) — 81.283/100 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).

KRUPAL SHAH, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 3300 GALLOWS RD, FALLS CHURCH, VA, 22042, with a listed phone of (703) 776-4001. NPI 1669601522 was issued on 07/13/2009. 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 236 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $19K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.283/100 for the 2023 performance year (Quality 70.77, Cost 66.84), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

3300 GALLOWS RD
FALLS CHURCH, VA 22042

Provider Details

NPI 1669601522
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 07/13/2009

CMS Quality Score (MIPS)

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

81.283
Final Score
Avg: 83.1
70.77
Quality
66.84
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRUPAL 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.

INOVA HEALTH CARE SERVICES
FALLS CHURCH, VA

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

Total received

$111

Largest payer

Medtronic, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

236
Total Claims
$19K
Total Drug Cost
93
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
251
Total Day Supply
6,149
Generic Drug Cost
$4K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
2.83
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What KRUPAL 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
Metoprolol Succinate
15
Furosemide
13
Prednisone
12

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

Pediatrics Physician Overview

How KRUPAL SHAH, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

KRUPAL SHAH, MD's 236 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Virginia

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

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

Frequently Asked Questions

What is KRUPAL SHAH, MD's specialty?
KRUPAL SHAH, MD specializes in Pediatrics Physician and practices in FALLS CHURCH, Virginia. Credentials: MD.
How much does KRUPAL SHAH, MD prescribe under Medicare Part D?
In 2023, KRUPAL SHAH, MD wrote 236 Medicare Part D claims totaling $19K in drug costs for 93 beneficiaries.
What is KRUPAL SHAH, MD's Medicare quality score?
KRUPAL SHAH, MD has a CMS MIPS Final Score of 81.283/100 (Quality: 70.77, Cost: 66.84). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRUPAL SHAH, MD located?
KRUPAL SHAH, MD is located at 3300 GALLOWS RD, FALLS CHURCH, VA, 22042. Phone: (703) 776-4001.
What is KRUPAL SHAH, MD's NPI number?
KRUPAL SHAH, MD's National Provider Identifier (NPI) is 1669601522, issued on 07/13/2009.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does KRUPAL SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, KRUPAL SHAH, MD's most frequently prescribed drugs include Metoprolol Succinate, Furosemide, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRUPAL SHAH, MD accept Medicare?
KRUPAL SHAH, MD appears in CMS Medicare data with 236 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRUPAL SHAH, MD's credentials?
KRUPAL SHAH, MD's NPI is 1669601522 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