2026 NPPES data Gastroenterology Physician NPI 1386748994 MD
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PAUL SHAPIRO, MD

Gastroenterology Physician in BLOOMFIELD, Connecticut. 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
276
Medicare Part D claims · 129 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.0713/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

PAUL SHAPIRO, MD reported a CMS MIPS final score of 85.0713/100 — above the 83.1 national average — and filed 276 Medicare Part D claims in 2023.

85.0713/100
MIPS score · +2 vs avg
276
Part D claims, 2023
91%
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.

PAUL SHAPIRO, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

PAUL SHAPIRO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 SHAPIRO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/12/2006

NPI 1386748994

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

276 67% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

85.0713/100 1.9712999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Gastroenterology Physician compares to other specialties among Connecticut providers

Connecticut providers

Gastroenterology Physician share within Connecticut

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Connecticut

Medicare quality performance — MIPS

PAUL SHAPIRO, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
85.0713/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 85.0713/100 vs national avg 83.1

0%100%National avg83%85.1%
MIPS final score (Gastroenterology Physician) — 85.0713/100 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).

PAUL SHAPIRO, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 6 NORTHWESTERN DR, BLOOMFIELD, CT, 06002, with a listed phone of (860) 243-5600. NPI 1386748994 was issued on 09/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAPIRO 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 276 prescription claims written by this provider, covering 129 Medicare beneficiaries and totaling roughly $52K in drug spend, split 9% brand-name and 91% generic by claim count. 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 85.0713/100 for the 2023 performance year (Quality 89.7092, Cost 68.332), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

6 NORTHWESTERN DR
BLOOMFIELD, CT 06002

Provider Details

NPI 1386748994
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 09/12/2006

CMS Quality Score (MIPS)

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

85.0713
Final Score
Avg: 83.1
89.7092
Quality
68.332
Cost
83
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

PAUL SHAPIRO, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 276 2023 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 2023.

276
Total Claims
$52K
Total Drug Cost
129
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
734
Total Day Supply
21,795
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$33K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.29
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What PAUL SHAPIRO, 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
Omeprazole
97
Famotidine
42
Pantoprazole Sodium
42
Lansoprazole
16

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

Gastroenterology Physician Overview

How PAUL SHAPIRO, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

PAUL SHAPIRO, MD's 276 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Connecticut

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL SHAPIRO, MD's specialty?
PAUL SHAPIRO, MD specializes in Gastroenterology Physician and practices in BLOOMFIELD, Connecticut. Credentials: MD.
How much does PAUL SHAPIRO, MD prescribe under Medicare Part D?
In 2023, PAUL SHAPIRO, MD wrote 276 Medicare Part D claims totaling $52K in drug costs for 129 beneficiaries.
What is PAUL SHAPIRO, MD's Medicare quality score?
PAUL SHAPIRO, MD has a CMS MIPS Final Score of 85.0713/100 (Quality: 89.7092, Cost: 68.332). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL SHAPIRO, MD located?
PAUL SHAPIRO, MD is located at 6 NORTHWESTERN DR, BLOOMFIELD, CT, 06002. Phone: (860) 243-5600.
What is PAUL SHAPIRO, MD's NPI number?
PAUL SHAPIRO, MD's National Provider Identifier (NPI) is 1386748994, issued on 09/12/2006.
Does PAUL SHAPIRO, MD prescribe more brand-name or generic drugs?
PAUL SHAPIRO, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $33K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does PAUL SHAPIRO, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL SHAPIRO, MD's most frequently prescribed drugs include Omeprazole, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL SHAPIRO, MD accept Medicare?
PAUL SHAPIRO, MD appears in CMS Medicare data with 276 Part D claims and 129 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL SHAPIRO, MD's credentials?
PAUL SHAPIRO, MD's NPI is 1386748994 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