2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1619233558 M.D.
Verify on CMS →

KUNAL SHAH, M.D.

Clinical Cardiac Electrophysiology Physician in ROUND ROCK, Texas. 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
1K
Medicare Part D claims · 240 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1721/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$388.19
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KUNAL SHAH, M.D. reported a CMS MIPS final score of 73.1721/100 — below the 83.1 national average — and filed 1,048 Medicare Part D claims in 2023.

73.1721/100
MIPS score · -10 vs avg
1K
Part D claims, 2023
70%
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.

KUNAL 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

73 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

KUNAL 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 KUNAL SHAH, M.D.?

Below national average

NPI registry status

Active

Issued 04/04/2012

NPI 1619233558

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

1,048 34% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

73.1721/100 9.927899999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Texas providers

Texas providers

Clinical Cardiac Electrophysiology Physician share within Texas

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Texas

Medicare quality performance — MIPS

KUNAL SHAH, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

Below national average
MIPS Final Score
73.1721/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 73.1721/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 73.1721/100 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).

KUNAL SHAH, M.D. appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding M.D. credentials at 301 SETON PKWY STE 302, ROUND ROCK, TX, 78665, with a listed phone of (512) 324-4812. NPI 1619233558 was issued on 04/04/2012. 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 1,048 prescription claims written by this provider, covering 240 Medicare beneficiaries and totaling roughly $292K in drug spend, split 30% brand-name and 70% 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 73.1721/100 for the 2023 performance year (Quality 79.3732, Cost 24.7564), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

301 SETON PKWY STE 302
ROUND ROCK, TX 78665

Provider Details

NPI 1619233558
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 04/04/2012

CMS Quality Score (MIPS)

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

73.1721
Final Score
Avg: 83.1
79.3732
Quality
24.7564
Cost
99
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where KUNAL 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.

SETON FAMILY OF DOCTORS
AUSTIN, TX

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

Total received

$388

Largest payer

Abbott Laboratories

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to KUNAL SHAH, M.D.. To verify KUNAL SHAH, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KUNAL SHAH, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 1,048 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.

1,048
Total Claims
$292K
Total Drug Cost
240
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,940
Total Day Supply
56,100
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$268K
Generic Drug Cost
$24K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.68
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

What KUNAL 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
Eliquis
Apixaban
219
Flecainide Acetate
132
Amiodarone Hcl
127
Metoprolol Succinate
84
Dofetilide
62
Lisinopril
58
Metoprolol Tartrate
53
Xarelto
Rivaroxaban
50
Doxycycline Monohydrate
26
Sucralfate
25

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

Clinical Cardiac Electrophysiology Physician Overview

How KUNAL SHAH, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

KUNAL SHAH, M.D.'s 1,048 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Texas

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KUNAL SHAH, M.D.'s specialty?
KUNAL SHAH, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in ROUND ROCK, Texas. Credentials: M.D..
How much does KUNAL SHAH, M.D. prescribe under Medicare Part D?
In 2023, KUNAL SHAH, M.D. wrote 1,048 Medicare Part D claims totaling $292K in drug costs for 240 beneficiaries.
What is KUNAL SHAH, M.D.'s Medicare quality score?
KUNAL SHAH, M.D. has a CMS MIPS Final Score of 73.1721/100 (Quality: 79.3732, Cost: 24.7564). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KUNAL SHAH, M.D. located?
KUNAL SHAH, M.D. is located at 301 SETON PKWY STE 302, ROUND ROCK, TX, 78665. Phone: (512) 324-4812.
What is KUNAL SHAH, M.D.'s NPI number?
KUNAL SHAH, M.D.'s National Provider Identifier (NPI) is 1619233558, issued on 04/04/2012.
Does KUNAL SHAH, M.D. prescribe more brand-name or generic drugs?
KUNAL SHAH, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $268K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does KUNAL SHAH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KUNAL SHAH, M.D.'s most frequently prescribed drugs include Eliquis, Flecainide Acetate, Amiodarone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KUNAL SHAH, M.D. accept Medicare?
KUNAL SHAH, M.D. appears in CMS Medicare data with 1,048 Part D claims and 240 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KUNAL SHAH, M.D.'s credentials?
KUNAL SHAH, M.D.'s NPI is 1619233558 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