2026 NPPES data Addiction Medicine (Psychiatry & Neurology) Physician NPI 1093199549 MD
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MUHAMMAD SHAH, MD

Addiction Medicine (Psychiatry & Neurology) Physician in ELSMERE, Kentucky. 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
232
Medicare Part D claims · 46 beneficiaries · Addiction Medicine (Psychiatry & Neurology) Physician avg: 1K
MIPS score
78.7894/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

MUHAMMAD SHAH, MD reported a CMS MIPS final score of 78.7894/100 — below the 83.1 national average — and filed 232 Medicare Part D claims in 2023.

78.7894/100
MIPS score · -4 vs avg
232
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.

MUHAMMAD 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

79 27th percentile higher than 27% 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)

MUHAMMAD SHAH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 MUHAMMAD SHAH, MD?

Near national average

NPI registry status

Active

Issued 07/15/2015

NPI 1093199549

Primary specialty

Addiction Medicine (Psychiatry & Neurology) Physician

Niche

658 US NPIs in this specialty

Medicare Part D claims

232 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,019

MIPS final score

78.7894/100 4.310599999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Addiction Medicine (Psychiatry & Neurology) Physician compares to other specialties among Kentucky providers

Kentucky providers

Addiction Medicine (Psychiatry & Neurology) Physician share within Kentucky

1. Addiction Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Psychiatry & Neurology) Physician share within Kentucky

Medicare quality performance — MIPS

MUHAMMAD SHAH, MD's 2023 MIPS final score plotted against the Addiction Medicine (Psychiatry & Neurology) Physician national average

Near national average
MIPS Final Score
78.7894/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Psychiatry & Neurology) Physician) — 78.7894/100 vs national avg 83.1

0%100%National avg83%78.8%
MIPS final score (Addiction Medicine (Psychiatry & Neurology) Physician) — 78.7894/100 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).

MUHAMMAD SHAH, MD appears in the CMS NPPES registry as a Addiction Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 4135 DIXIE HWY STE 400, ELSMERE, KY, 41018, with a listed phone of (833) 510-4357. NPI 1093199549 was issued on 07/15/2015. 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 232 prescription claims written by this provider, covering 46 Medicare beneficiaries and totaling roughly $14K 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 78.7894/100 for the 2023 performance year (Quality 70.4288, Cost 58.8691), compared with the national average of 83.1.

Addiction Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 658 enrolled providers across 49 states and an average of 1,019 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

4135 DIXIE HWY STE 400
ELSMERE, KY 41018

Provider Details

NPI 1093199549
Specialty Addiction Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 07/15/2015

CMS Quality Score (MIPS)

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

78.7894
Final Score
Avg: 83.1
70.4288
Quality
58.8691
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MUHAMMAD 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.

BRIGHTVIEW LLC
ELSMERE, KY
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
WEST CHESTER, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

232
Total Claims
$14K
Total Drug Cost
46
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
393
Total Day Supply
11,309
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
50.7 years
Avg HCC Risk Score
2.08
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What MUHAMMAD 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
Clonazepam
21
Duloxetine Hcl
11
Olanzapine
11
Quetiapine Fumarate
11

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

Addiction Medicine (Psychiatry & Neurology) Physician Overview

How MUHAMMAD SHAH, MD fits within the Addiction Medicine (Psychiatry & Neurology) Physician landscape nationally.

658
Addiction Medicine (Psychiatry & Neurology) Physician Providers in US
49
States with Addiction Medicine (Psychiatry & Neurology) Physician
1,019
Avg Claims per Provider

MUHAMMAD SHAH, MD's 232 claims are below the specialty average of 1,019.

Nearby Addiction Medicine (Psychiatry & Neurology) Physician Providers in Kentucky

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

Compare Addiction Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MUHAMMAD SHAH, MD's specialty?
MUHAMMAD SHAH, MD specializes in Addiction Medicine (Psychiatry & Neurology) Physician and practices in ELSMERE, Kentucky. Credentials: MD.
How much does MUHAMMAD SHAH, MD prescribe under Medicare Part D?
In 2023, MUHAMMAD SHAH, MD wrote 232 Medicare Part D claims totaling $14K in drug costs for 46 beneficiaries.
What is MUHAMMAD SHAH, MD's Medicare quality score?
MUHAMMAD SHAH, MD has a CMS MIPS Final Score of 78.7894/100 (Quality: 70.4288, Cost: 58.8691). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MUHAMMAD SHAH, MD located?
MUHAMMAD SHAH, MD is located at 4135 DIXIE HWY STE 400, ELSMERE, KY, 41018. Phone: (833) 510-4357.
What is MUHAMMAD SHAH, MD's NPI number?
MUHAMMAD SHAH, MD's National Provider Identifier (NPI) is 1093199549, issued on 07/15/2015.
How many Addiction Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 658 Addiction Medicine (Psychiatry & Neurology) Physician providers across 49 states in the US. The average Addiction Medicine (Psychiatry & Neurology) Physician provider writes 1,019 Medicare Part D claims per year.
What drugs does MUHAMMAD SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, MUHAMMAD SHAH, MD's most frequently prescribed drugs include Clonazepam, Duloxetine Hcl, Olanzapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MUHAMMAD SHAH, MD accept Medicare?
MUHAMMAD SHAH, MD appears in CMS Medicare data with 232 Part D claims and 46 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MUHAMMAD SHAH, MD's credentials?
MUHAMMAD SHAH, MD's NPI is 1093199549 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