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.
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
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
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Texas
How Clinical Cardiac Electrophysiology Physician compares to other specialties among Texas providers
Clinical Cardiac Electrophysiology Physician share within Texas
Clinical Cardiac Electrophysiology Physician is one of the more visible NUCC categories in Texas
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
KUNAL SHAH, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Clinical Cardiac Electrophysiology Physician US NPIs
73.1721/100 MIPS final score — 9.9 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Clinical Cardiac Electrophysiology Physician. Quality dim: 79.3732. Cost dim: 24.7564.
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
Provider Details
| NPI | 1619233558 |
|---|---|
| Specialty | Clinical Cardiac Electrophysiology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/04/2012 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm KUNAL SHAH, M.D.'s current license status, disciplinary history, and board certifications with the Texas Medical Board in Texas before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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
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.
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
- Eliquis
Eliquis
219 claims
- Flecainide Acetate
Flecainide Acetate
132 claims
- Amiodarone Hcl
Amiodarone Hcl
127 claims
- Metoprolol Succinate 84
Metoprolol Succinate
84 claims
- Dofetilide 62
Dofetilide
62 claims
- Lisinopril 58
Lisinopril
58 claims
- Metoprolol Tartrate 53
Metoprolol Tartrate
53 claims
- Xarelto 50
Xarelto
50 claims
| 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.
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 →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Texas
Frequently Asked Questions
What is KUNAL SHAH, M.D.'s specialty? ▼
How much does KUNAL SHAH, M.D. prescribe under Medicare Part D? ▼
What is KUNAL SHAH, M.D.'s Medicare quality score? ▼
Where is KUNAL SHAH, M.D. located? ▼
What is KUNAL SHAH, M.D.'s NPI number? ▼
Does KUNAL SHAH, M.D. prescribe more brand-name or generic drugs? ▼
How many Clinical Cardiac Electrophysiology Physician providers are there in the US? ▼
What drugs does KUNAL SHAH, M.D. prescribe most often? ▼
Does KUNAL SHAH, M.D. accept Medicare? ▼
How can I verify KUNAL SHAH, M.D.'s credentials? ▼
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