2026 NPPES data Hospitalist Physician NPI 1376922930 M.D.
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KUMAIL SHAH, M.D.

Hospitalist Physician in NORTH KANSAS CITY, Missouri. 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
380
Medicare Part D claims · 155 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.8902/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$38.82
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KUMAIL SHAH, M.D. reported a CMS MIPS final score of 91.8902/100 — above the 83.1 national average — and filed 380 Medicare Part D claims in 2023.

91.8902/100
MIPS score · +9 vs avg
380
Part D claims, 2023
85%
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.

KUMAIL SHAH, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

92 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)

KUMAIL 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 KUMAIL SHAH, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/28/2015

NPI 1376922930

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

380 57% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

91.8902/100 8.790199999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Hospitalist Physician compares to other specialties among Missouri providers

Missouri providers

Hospitalist Physician share within Missouri

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

Medicare quality performance — MIPS

KUMAIL SHAH, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
91.8902/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 91.8902/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Hospitalist Physician) — 91.8902/100 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).

KUMAIL SHAH, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO, 64116, with a listed phone of (816) 455-0681. NPI 1376922930 was issued on 05/28/2015. 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 380 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $31K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 4.7%. 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 91.8902/100 for the 2023 performance year (Quality 75.1734), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2700 CLAY EDWARDS DR STE 240
NORTH KANSAS CITY, MO 64116

Provider Details

NPI 1376922930
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 05/28/2015

CMS Quality Score (MIPS)

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

91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KUMAIL 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.

MERITAS HEALTH CORPORATION
NORTH KANSAS CITY, MO

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 KUMAIL SHAH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$39

Largest payer

Vanda 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.

Brand vs generic prescribing mix · Typical

KUMAIL SHAH, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 380 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.

380
Total Claims
$31K
Total Drug Cost
155
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
404
Total Day Supply
9,019
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$27K
Generic Drug Cost
$4K
Opioid Claims
18 (4.7% rate)
Antibiotic Claims
59

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
2.39
Gender Split
62% female / 38% male
Age Distribution
<65: 16, 65-74: 53, 75-84: 53, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What KUMAIL SHAH, 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
Metoprolol Succinate
32
Eliquis
Apixaban
25
Atorvastatin Calcium
19
Cephalexin
19
Pantoprazole Sodium
17
Clopidogrel
Clopidogrel Bisulfate
13
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13
Prednisone
13
Azithromycin
11

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

Hospitalist Physician Overview

How KUMAIL SHAH, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

KUMAIL SHAH, M.D.'s 380 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Missouri

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

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

Frequently Asked Questions

What is KUMAIL SHAH, M.D.'s specialty?
KUMAIL SHAH, M.D. specializes in Hospitalist Physician and practices in NORTH KANSAS CITY, Missouri. Credentials: M.D..
How much does KUMAIL SHAH, M.D. prescribe under Medicare Part D?
In 2023, KUMAIL SHAH, M.D. wrote 380 Medicare Part D claims totaling $31K in drug costs for 155 beneficiaries.
What is KUMAIL SHAH, M.D.'s Medicare quality score?
KUMAIL SHAH, M.D. has a CMS MIPS Final Score of 91.8902/100 (Quality: 75.1734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KUMAIL SHAH, M.D. located?
KUMAIL SHAH, M.D. is located at 2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO, 64116. Phone: (816) 455-0681.
What is KUMAIL SHAH, M.D.'s NPI number?
KUMAIL SHAH, M.D.'s National Provider Identifier (NPI) is 1376922930, issued on 05/28/2015.
Does KUMAIL SHAH, M.D. prescribe more brand-name or generic drugs?
KUMAIL SHAH, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $27K in brand drug costs.
Does KUMAIL SHAH, M.D. prescribe opioids?
Yes, KUMAIL SHAH, M.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does KUMAIL SHAH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KUMAIL SHAH, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KUMAIL SHAH, M.D. accept Medicare?
KUMAIL SHAH, M.D. appears in CMS Medicare data with 380 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KUMAIL SHAH, M.D.'s credentials?
KUMAIL SHAH, M.D.'s NPI is 1376922930 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.
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