2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1629289509 M.D
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NIRAV SHAH, M.D

Sports Medicine (Orthopaedic Surgery) Physician in LONGMONT, Colorado. 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
340
Medicare Part D claims · 216 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
73.8718/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$227.18
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NIRAV SHAH, M.D is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in LONGMONT, Colorado with a Medicare Part D prescribing footprint of 340 claims across 216 beneficiaries . Their CMS MIPS Final Score of 73.8718/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $227.18 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NIRAV SHAH, M.D reported a CMS MIPS final score of 73.8718 out of 100, below the 83.1 national average, and filed 340 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

NIRAV SHAH, M.D at a glance

Below national average

NPI registry status

Active

Issued 05/24/2007

NPI 1629289509

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

340 22% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

73.8718/100 9.228200000000001% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Colorado providers

Colorado providers

Sports Medicine (Orthopaedic Surgery) Physician share within Colorado

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Colorado

Medicare quality performance — MIPS

NIRAV SHAH, M.D's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Below national average
MIPS Final Score
73.8718/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 73.8718/100 vs national avg 83.1

0%100%National avg83%73.9%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 73.8718/100 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).

NIRAV SHAH, M.D is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in LONGMONT, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1629289509. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NIRAV SHAH, M.D appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D credentials at 1610 DRY CREEK DR, LONGMONT, CO, 80503, with a listed phone of (303) 772-1600. NPI 1629289509 was issued on 05/24/2007. 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 340 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 20.3%. 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 73.8718/100 for the 2023 performance year (Quality 68.4654, Cost 74.4406), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

1610 DRY CREEK DR
LONGMONT, CO 80503

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
Avg: 83.1
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.

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 2023.

340
Total Claims
$2K
Total Drug Cost
216
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
343
Total Day Supply
4,840
Generic Drug Cost
$2K
Opioid Claims
69 (20.3% rate)
Antibiotic Claims
91

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
0.75
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
91
Amoxicillin
75
Oxycodone Hcl
37
Prednisone
27
Tramadol Hcl
22
Cyclobenzaprine Hcl
20
Celecoxib
12
Methylprednisolone
11

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How NIRAV SHAH, M.D fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

NIRAV SHAH, M.D's 340 claims are above the specialty average of 278.

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.

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

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 2023, NIRAV SHAH, M.D wrote 340 Medicare Part D claims totaling $2K in drug costs for 216 beneficiaries.
What is NIRAV SHAH, M.D's Medicare quality score?
NIRAV SHAH, M.D has a CMS MIPS Final Score of 73.8718/100 (Quality: 68.4654, Cost: 74.4406). The national average MIPS Final Score is 83.1. 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 69 opioid claims in 2023 with an opioid prescribing rate of 20.3%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does NIRAV SHAH, M.D prescribe most often?
Based on 2023 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 340 Part D claims and 216 Medicare beneficiaries in 2023. 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

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