NPI registry status
Active
2026 NPPES data Registered Nurse NPI 1952076200
Verify on CMS → Prachi Shah
Registered Nurse in Burlington, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 177,204 in Registered Nurse, 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
2K
Medicare Part D claims · 389 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4/100
▲ 8 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Prachi Shah reported a CMS MIPS final score of 91.4/100 - above the 83.5 national average - and filed 1,992 Medicare Part D claims in 2023.
- 91.4/100
- MIPS score · +8 vs avg
- 2K
- Part D claims, 2023
- 75%
- generic prescribing
- ≥61st
- pct among measured MIPS (lower-bound band)
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.
Prachi Shah'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.
91 ≥ 61st percentile 61% 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 Prachi Shah sits
This provider among registered nurse peers
Across the 3,271 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Prachi Shah writes more Part D claims than 85% of them and scores higher on MIPS quality than 65% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one registered nurse peer from a representative sample of 60; the gold marker is Prachi Shah. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Prachi Shah?
High performer (top quartile)Primary specialty
Registered Nurse
Medicare Part D claims
1,992 99% vs specialty avg
MIPS final score
91.4/100 7.9 pts vs avg
Specialty distribution in Massachusetts
How Registered Nurse compares to other specialties among Massachusetts providers
Medicare quality performance, MIPS
Prachi Shah's 2023 MIPS final score plotted against the Registered Nurse national average
- MIPS Final Score
- 91.4/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Registered Nurse) - 91.4/100 vs national avg 83.5
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).
Prachi Shah appears in the CMS NPPES registry as a Registered Nurse provider at 67 S BEDFORD ST STE 101, Burlington, MA, 01803, with a listed phone of (781) 744-8000. NPI 1952076200 was issued on 08/10/2021.
Medicare Part D records for calendar year 2023 show 1,992 prescription claims written by this provider, covering 389 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 25% brand-name and 75% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.4/100 for the 2023 performance year (Quality 76.9), compared with the 83.5 average among clinicians with a measured score.
Registered Nurse is a high-volume specialty nationwide, with 177,204 enrolled providers across 56 states and an average of 1,000 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 | 1952076200 |
|---|---|
| Specialty | Registered Nurse |
| Gender | Female |
| NPI Issued | 08/10/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.4157
Final Score
Measured-score avg: 83.5
76.877
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Prachi Shah 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.
Lahey Clinic Inc
Burlington, MA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Prachi Shah. To verify Prachi Shah's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Prachi Shah - brand share 25.0%
Registered Nurse average
25% brand-name claims vs 75% generic, on 1,992 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.
1,992
Total Claims
$1.1M
Total Drug Cost
389
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,274
- Total Day Supply
- 126,104
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $39K
Patient Demographics
- Average Patient Age
- 78.1 years
- Avg HCC Risk Score
- 2.22
- Gender Split
- 38% female / 62% male
- Age Distribution
- <65: 21, 65-74: 120, 75-84: 147, 85+: 101
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Prachi Shah prescribes most
Top Medicare Part D drugs by claim count, 2023
- Spironolactone
Spironolactone
345 claims
- Metoprolol Succinate
Metoprolol Succinate
219 claims
- Entresto
Entresto
180 claims
- Jardiance
Jardiance
177 claims
- Torsemide 131
Torsemide
131 claims
- Furosemide 123
Furosemide
123 claims
- Atorvastatin Calcium 116
Atorvastatin Calcium
116 claims
- Eliquis 64
Eliquis
64 claims
| Drug | Claims |
|---|---|
| Spironolactone | 345 |
| Metoprolol Succinate | 219 |
| Entresto Sacubitril/Valsartan | 180 |
| Jardiance Empagliflozin | 177 |
| Torsemide | 131 |
| Furosemide | 123 |
| Atorvastatin Calcium | 116 |
| Eliquis Apixaban | 64 |
| Losartan Potassium | 39 |
| Valsartan | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Registered Nurse Overview
How Prachi Shah fits within the Registered Nurse landscape nationally.
177,204
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider
Prachi Shah's 1,992 claims are above the specialty average of 1,000.
Nearby Registered Nurse Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Shah.
Sabrina Abanoor
Boston, MA
Dr. Jennifer Abazorius
RN
Fitchburg, MA
Dr. Kobina Abban-Saah
RN
West Roxbury, MA
Adanesh Abbay
Cambridge, MA
Dr. Alberta Abbuah
PMHNP
Framingham, MA
Compare Registered Nurse 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 Massachusetts medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Registered Nurse 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
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Frequently Asked Questions
What is Prachi Shah's specialty? ▼
Prachi Shah specializes in Registered Nurse and practices in Burlington, Massachusetts.
How much does Prachi Shah prescribe under Medicare Part D? ▼
In 2023, Prachi Shah wrote 1,992 Medicare Part D claims totaling $1.1M in drug costs for 389 beneficiaries.
What is Prachi Shah's Medicare quality score? ▼
Prachi Shah has a CMS MIPS Final Score of 91.4/100 (Quality: 76.9). 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 Prachi Shah located? ▼
Prachi Shah is located at 67 S BEDFORD ST STE 101, Burlington, MA, 01803. Phone: (781) 744-8000.
What is Prachi Shah's NPI number? ▼
Prachi Shah's National Provider Identifier (NPI) is 1952076200, issued on 08/10/2021.
Does Prachi Shah prescribe more brand-name or generic drugs? ▼
Prachi Shah's prescribing is 25% brand-name and 75% generic drugs by claim count, with $1.1M in brand drug costs.
How many Registered Nurse providers are there in the US? ▼
There are 177,204 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Prachi Shah prescribe most often? ▼
Based on 2023 Medicare Part D data, Prachi Shah's most frequently prescribed drugs include Spironolactone, Metoprolol Succinate, Entresto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prachi Shah accept Medicare? ▼
Prachi Shah appears in CMS Medicare data with 1,992 Part D claims and 389 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prachi Shah's credentials? ▼
Prachi Shah's NPI is 1952076200. 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.
- 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
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 May 2026.