2026 NPPES data Emergency Medicine Physician NPI 1932363579 M.D.
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Payal Shah, M.D.

Emergency Medicine Physician in Troy, Michigan. 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
369
Medicare Part D claims · 30 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.7/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

Payal Shah, M.D. reported a CMS MIPS final score of 84.7/100 — above the 83.1 national average — and filed 369 Medicare Part D claims in 2023.

84.7/100
MIPS score · +2 vs avg
369
Part D claims, 2023
81%
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.

Payal Shah, M.D.'s MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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)

Payal Shah, M.D. 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 Payal Shah, M.D.?

Near national average

NPI registry status

Active

Issued 07/14/2008

NPI 1932363579

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

369 5% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

84.7/100 1.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Emergency Medicine Physician compares to other specialties among Michigan providers

Michigan providers

Emergency Medicine Physician share within Michigan

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Michigan

Medicare quality performance — MIPS

Payal Shah, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Near national average
MIPS Final Score
84.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 84.7/100 vs national avg 83.1

0%100%National avg83%84.7%
MIPS final score (Emergency Medicine Physician) — 84.7/100 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).

Payal Shah, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 44201 DEQUINDRE RD, Troy, MI, 48085, with a listed phone of (248) 964-5111. NPI 1932363579 was issued on 07/14/2008. 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 369 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $37K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 4.6%. 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 84.7/100 for the 2023 performance year (Quality 80.7, Cost 68.4), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

44201 DEQUINDRE RD
Troy, MI 48085

Provider Details

NPI 1932363579
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 07/14/2008

CMS Quality Score (MIPS)

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

84.7224
Final Score
Avg: 83.1
80.6811
Quality
68.3934
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to Payal Shah, M.D.. To verify Payal Shah, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Payal Shah, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 369 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.

369
Total Claims
$37K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
431
Total Day Supply
11,883
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$31K
Generic Drug Cost
$5K
Opioid Claims
17 (4.6% rate)

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.80

Top Prescribed Drugs (Medicare Part D)

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

What Payal Shah, M.D. 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
Metformin Hcl
20
Amlodipine Besylate
19
Albuterol Sulfate Hfa
Albuterol Sulfate
16
Atorvastatin Calcium
16
Enalapril Maleate
15
Metoprolol Succinate
13
Lisinopril
11
Pantoprazole Sodium
11

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

Emergency Medicine Physician Overview

How Payal Shah, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Payal Shah, M.D.'s 369 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Michigan

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

Compare Emergency Medicine 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 Michigan medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency Medicine 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.

Frequently Asked Questions

What is Payal Shah, M.D.'s specialty?
Payal Shah, M.D. specializes in Emergency Medicine Physician and practices in Troy, Michigan. Credentials: M.D..
How much does Payal Shah, M.D. prescribe under Medicare Part D?
In 2023, Payal Shah, M.D. wrote 369 Medicare Part D claims totaling $37K in drug costs for 30 beneficiaries.
What is Payal Shah, M.D.'s Medicare quality score?
Payal Shah, M.D. has a CMS MIPS Final Score of 84.7/100 (Quality: 80.7, Cost: 68.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Payal Shah, M.D. located?
Payal Shah, M.D. is located at 44201 DEQUINDRE RD, Troy, MI, 48085. Phone: (248) 964-5111.
What is Payal Shah, M.D.'s NPI number?
Payal Shah, M.D.'s National Provider Identifier (NPI) is 1932363579, issued on 07/14/2008.
Does Payal Shah, M.D. prescribe more brand-name or generic drugs?
Payal Shah, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $31K in brand drug costs.
Does Payal Shah, M.D. prescribe opioids?
Yes, Payal Shah, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 4.6%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Payal Shah, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Payal Shah, M.D.'s most frequently prescribed drugs include Metformin Hcl, Amlodipine Besylate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Payal Shah, M.D. accept Medicare?
Payal Shah, M.D. appears in CMS Medicare data with 369 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Payal Shah, M.D.'s credentials?
Payal Shah, M.D.'s NPI is 1932363579 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