NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1992895510 MD
Verify on CMS → Paul Shami, MD
Hematology (Internal Medicine) Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,483 in Hematology (Internal Medicine) 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
553
Medicare Part D claims · 57 beneficiaries · Hematology (Internal Medicine) Physician avg: 684
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1/100
▲ 9 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Paul Shami, MD reported a CMS MIPS final score of 92.1/100 - above the 83.5 national average - and filed 553 Medicare Part D claims in 2024.
- 92.1/100
- MIPS score · +9 vs avg
- 553
- Part D claims, 2024
- 71%
- 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.
Federal trust snapshot
What official records show about Paul Shami, MD
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 1992895510), first enumerated 10/13/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 553 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 92.1/100 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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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 1992895510 · Hematology (Internal Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1992895510
- ENUM-LEGACY 2006
- TAX-NARROW 1,483
- MIPS-ABOVE 92.1/100
- RX-LIGHT 553
- BOOK-THIN 5 in Utah
- PHOTO-FINISH Anna Parks · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Ivan Aksentijevi…
Ivan Aksentijevich, M.D.
92 MIPS pts
- Christina Brzezn…
Christina Brzezniak, DO
92 MIPS pts
- Shami · this pro…
Shami · this provider
92.1 MIPS pts
- Anna Parks · hig…
Anna Parks
92.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Paul Shami, MD'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.
92 ≥ 66th percentile 66% 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 Paul Shami, MD sits
This provider among hematology (internal medicine) physician peers
Across the 446 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Shami, MD writes more Part D claims than 62% of them and scores higher on MIPS quality than 60% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Paul Shami, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Shami, MD 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 Paul Shami, MD?
High performer (top quartile)Primary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
553 19% vs specialty avg
MIPS final score
92.1/100 8.6 pts vs avg
Specialty distribution in Utah
How Hematology (Internal Medicine) Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Paul Shami, MD's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- MIPS Final Score
- 92.1/100
- 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 | 1992895510 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.0664
Final Score
Measured-score avg: 83.5
85.5753
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Paul Shami, 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.
University OF Utah Adult Services
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Paul Shami, MD - brand share 29.0%
Hematology (Internal Medicine) Physician average
29% brand-name claims vs 71% generic, on 553 2024 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 2024.
553
Total Claims
$2.6M
Total Drug Cost
57
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 646.433
- Total Day Supply
- 17,422
- Brand vs Generic
- 29% brand / 71% generic
- Brand Drug Cost
- $2.5M
- Generic Drug Cost
- $34K
- Antibiotic Claims
- 34
Patient Demographics
- Average Patient Age
- 71.5 years
- Avg HCC Risk Score
- 3.33
- Gender Split
- 44% female / 56% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Paul Shami, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Acyclovir
Acyclovir
82 claims
- Potassium Chloride
Potassium Chloride
39 claims
- Sprycel 25
Sprycel
25 claims
- Ayvakit 21
Ayvakit
21 claims
- Levofloxacin 20
Levofloxacin
20 claims
- Scemblix 19
Scemblix
19 claims
- Ondansetron Hcl 17
Ondansetron Hcl
17 claims
- Posaconazole 17
Posaconazole
17 claims
| Drug | Claims |
|---|---|
| Acyclovir | 82 |
| Potassium Chloride | 39 |
| Sprycel Dasatinib | 25 |
| Ayvakit Avapritinib | 21 |
| Levofloxacin | 20 |
| Scemblix Asciminib Hydrochloride | 19 |
| Ondansetron Hcl | 17 |
| Posaconazole | 17 |
| Cyclosporine Modified Cyclosporine, Modified | 16 |
| Onureg Azacitidine | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology (Internal Medicine) Physician Overview
How Paul Shami, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,483
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
684
Avg Claims per Provider
Paul Shami, MD's 553 claims are below the specialty average of 684.
Nationwide Hematology (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Shami, both outside Utah so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (92.1 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hematology (Internal Medicine) Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Shami.
One of 5 Hematology (Internal Medicine) Physician providers enrolled in Utah, 4 are shown here.
Dr. Ami Patel
M.D.
Salt Lake City, UT
Dr. Douglas Sborov
M.D.
Salt Lake City, UT
Dr. William Stephenson
M.D.
Provo, UT
Dr. Srinivas Tantravahi
MD
Salt Lake City, UT
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Paul Shami, MD's specialty? ▼
Paul Shami, MD specializes in Hematology (Internal Medicine) Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Paul Shami, MD prescribe under Medicare Part D? ▼
In 2024, Paul Shami, MD wrote 553 Medicare Part D claims totaling $2.6M in drug costs for 57 beneficiaries.
What is Paul Shami, MD's Medicare quality score? ▼
Paul Shami, MD has a CMS MIPS Final Score of 92.1/100 (Quality: 85.6). 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 Paul Shami, MD located? ▼
Paul Shami, MD is located at 1950 CIRCLE OF HOPE DR, Salt Lake City, UT, 84112. Phone: (801) 581-2121.
What is Paul Shami, MD's NPI number? ▼
Paul Shami, MD's National Provider Identifier (NPI) is 1992895510, issued on 10/13/2006.
Does Paul Shami, MD prescribe more brand-name or generic drugs? ▼
Paul Shami, MD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $2.5M in brand drug costs.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,483 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 684 Medicare Part D claims per year.
What drugs does Paul Shami, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Paul Shami, MD's most frequently prescribed drugs include Acyclovir, Potassium Chloride, Sprycel. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Shami, MD accept Medicare? ▼
Paul Shami, MD appears in CMS Medicare data with 553 Part D claims and 57 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Shami, MD's credentials? ▼
Paul Shami, MD's NPI is 1992895510 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
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.