NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1629289509 M.D
Verify on CMS → Nirav Shah, M.D
Sports Medicine (Orthopaedic Surgery) Physician in Longmont, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,766 in Sports Medicine (Orthopaedic Surgery) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
372
Medicare Part D claims · 242 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 309
MIPS score
73.9/100
▼ 10 pts below national avg 83.5 · Mid-tier
Industry payments
$227.18
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nirav Shah, M.D reported a CMS MIPS final score of 73.9/100 - below the 83.5 national average - and filed 372 Medicare Part D claims in 2024.
- 73.9/100
- MIPS score · -10 vs avg
- 372
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥11th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Nirav Shah, M.D
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1629289509), first enumerated 05/24/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 372 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 73.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$227.18 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1629289509 · Sports Medicine (Orthopaedic Surgery) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1629289509
- ENUM-MID 2007
- TAX-NARROW 2,766
- MIPS-BELOW 73.9/100
- RX-LIGHT 372
- BOOK-THIN 98 in Colorado
- PHOTO-FINISH Gregory Bigler · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Tariq Hendawi · …
Tariq Hendawi
73.7 MIPS pts
- Shah · this prov…
Shah · this provider
73.9 MIPS pts
- Gregory Bigler ·…
Gregory Bigler
73.9 MIPS pts
- Kyle Randall · h…
Kyle Randall
74 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nirav Shah, M.D's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
74 ≥ 11th percentile 11% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nirav Shah, M.D sits
This provider among sports medicine (orthopaedic surgery) physician peers
Across the 924 sports medicine (orthopaedic surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nirav Shah, M.D writes more Part D claims than 72% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one sports medicine (orthopaedic surgery) physician peer from a representative sample of 60; the gold marker is Nirav Shah, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nirav Shah, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Nirav Shah, M.D?
Below national averagePrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
372 20% vs specialty avg
MIPS final score
73.9/100 9.6 pts vs avg
Specialty distribution in Colorado
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Nirav Shah, M.D's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average
- MIPS Final Score
- 73.9/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1629289509 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | M.D |
| Gender | Male |
| NPI Issued | 05/24/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.8718
Final Score
Measured-score avg: 83.5
68.4654
Quality
74.4406
Cost
64
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nirav 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.
According to CMS billing records, Nirav Shah, M.D is affiliated with 3 Medicare-billing facilities.
Orthopaedic And Spine Center OF The Rockies PC
Westminster, CO
Select Physical Therapy Holdings Inc
Loveland, CO
Select Physical Therapy OF West Denver Limited Partnership
Commerce City, CO
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 Nirav Shah, M.D. Source: openpaymentsdata.cms.gov.
Total received
$227
Largest payer
Gemini Mountain Medical, LLC
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 2024.
372
Total Claims
$1K
Total Drug Cost
242
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 388
- Total Day Supply
- 6,444
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
- Opioid Claims
- 54 (14.5% rate)
- Antibiotic Claims
- 96
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 0.81
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 15, 65-74: 156, 75-84: 60, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nirav Shah, M.D prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
146 claims
- Amoxicillin
Amoxicillin
73 claims
- Oxycodone Hcl 28
Oxycodone Hcl
28 claims
- Prednisone 25
Prednisone
25 claims
- Clindamycin Hcl 16
Clindamycin Hcl
16 claims
- Tramadol Hcl 13
Tramadol Hcl
13 claims
- Cyclobenzaprine Hcl 12
Cyclobenzaprine Hcl
12 claims
- Methylprednisolone 11
Methylprednisolone
11 claims
| Drug | Claims |
|---|---|
| Meloxicam | 146 |
| Amoxicillin | 73 |
| Oxycodone Hcl | 28 |
| Prednisone | 25 |
| Clindamycin Hcl | 16 |
| Tramadol Hcl | 13 |
| Cyclobenzaprine Hcl | 12 |
| Methylprednisolone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in CO →
All providers in Colorado →
Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Nirav Shah, M.D fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,766
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
309
Avg Claims per Provider
Nirav Shah, M.D's 372 claims are above the specialty average of 309.
Nationwide Sports Medicine (Orthopaedic Surgery) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Shah, both outside Colorado so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (73.9 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Shah.
One of 98 Sports Medicine (Orthopaedic Surgery) Physician providers enrolled in Colorado, 5 are shown here.
Frequently Asked Questions
What is Nirav Shah, M.D's specialty? ▼
Nirav Shah, M.D specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Longmont, Colorado. Credentials: M.D.
How much does Nirav Shah, M.D prescribe under Medicare Part D? ▼
In 2024, Nirav Shah, M.D wrote 372 Medicare Part D claims totaling $1K in drug costs for 242 beneficiaries.
What is Nirav Shah, M.D's Medicare quality score? ▼
Nirav Shah, M.D has a CMS MIPS Final Score of 73.9/100 (Quality: 68.5, Cost: 74.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nirav Shah, M.D located? ▼
Nirav Shah, M.D is located at 1610 DRY CREEK DR, Longmont, CO, 80503. Phone: (303) 772-1600.
What is Nirav Shah, M.D's NPI number? ▼
Nirav Shah, M.D's National Provider Identifier (NPI) is 1629289509, issued on 05/24/2007.
Does Nirav Shah, M.D prescribe opioids? ▼
Yes, Nirav Shah, M.D had 54 opioid claims in 2024 with an opioid prescribing rate of 14.5%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,766 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 309 Medicare Part D claims per year.
What drugs does Nirav Shah, M.D prescribe most often? ▼
Based on 2024 Medicare Part D data, Nirav Shah, M.D's most frequently prescribed drugs include Meloxicam, Amoxicillin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nirav Shah, M.D accept Medicare? ▼
Nirav Shah, M.D appears in CMS Medicare data with 372 Part D claims and 242 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nirav Shah, M.D's credentials? ▼
Nirav Shah, M.D's NPI is 1629289509 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.