NPI registry status
Active
2026 NPPES data Urology Physician NPI 1003462391
Verify on CMS → Parth Shah
Urology Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
18
Medicare Part D claims · 15 beneficiaries · Urology Physician avg: 1K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Parth Shah filed 18 Medicare Part D claims in 2023 as a Urology Physician in Madison, Wisconsin.
- 18
- Part D claims, 2023
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.
Parth Shah's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
18 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Parth Shah practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Parth Shah?
Quality data not reportedPrimary specialty
Urology Physician
Medicare Part D claims
18 99% vs specialty avg
Specialty distribution in Wisconsin
How Urology Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urology Physician. Verify directly:
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).
Parth Shah appears in the CMS NPPES registry as a Urology Physician provider at UW HOSPITALS & CLINICS 600 HIGHLAND AVE, Madison, WI, 53792, with a listed phone of (608) 263-6400. NPI 1003462391 was issued on 08/13/2019.
Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $840 in drug spend.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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 | 1003462391 |
|---|---|
| Specialty | Urology Physician |
| Gender | Male |
| NPI Issued | 08/13/2019 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
18
Total Claims
$840
Total Drug Cost
15
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 18
- Total Day Supply
- 195
- Generic Drug Cost
- $308
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 2.05
Urology Physician Overview
How Parth Shah fits within the Urology Physician landscape nationally.
13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Parth Shah's 18 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Shah.
Dr. Edwin Abel
M.D.
Madison, WI
Dr. Bahareh Alavi-Dunn
MD
Green Bay, WI
Dr. Gregory Anderson
MD
Marshfield, WI
Dr. Matthew Anderson
M.D.
Oshkosh, WI
Dr. Michelle Andrew
MD
Menomonee Falls, WI
Compare Urology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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How to Find a Doctor
Step-by-step guide to choosing a provider
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Wisconsin
Frequently Asked Questions
What is Parth Shah's specialty? ▼
Parth Shah specializes in Urology Physician and practices in Madison, Wisconsin.
How much does Parth Shah prescribe under Medicare Part D? ▼
In 2023, Parth Shah wrote 18 Medicare Part D claims totaling $840 in drug costs for 15 beneficiaries.
Where is Parth Shah located? ▼
Parth Shah is located at UW HOSPITALS & CLINICS 600 HIGHLAND AVE, Madison, WI, 53792. Phone: (608) 263-6400.
What is Parth Shah's NPI number? ▼
Parth Shah's National Provider Identifier (NPI) is 1003462391, issued on 08/13/2019.
How many Urology Physician providers are there in the US? ▼
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
Does Parth Shah accept Medicare? ▼
Parth Shah appears in CMS Medicare data with 18 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Parth Shah's credentials? ▼
Parth Shah's NPI is 1003462391. 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
Compiled from official public sources by the PlainDoctor editorial team.