Pratik Shah, M.D.
Endocrinology, Diabetes & Metabolism Physician · Frederick, MD
Pratik Shah, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Frederick, Maryland, and NPI 1871977793, issued on Jul 10, 2015. Check the license (Maryland D89673, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Pratik Shah
- Credential
- M.D.
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- D89673 MD
Self-reported in NPPES; status is on the state search - Practice location
- 7211 Bank CT, Frederick, MD 21703
- Phone
- (240) 566-7830
- Enumerated
- Jul 10, 2015
- Record last updated
- Jul 27, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200729003732); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 314 in Maryland → Look up another NPI →
Also registered at 7211 Bank CT
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lev Agarunov, M.D.Pulmonary Disease Physician1316067929
- Erica Aikens, PA-CPhysician Assistant1538753082
- Melissa Asuncion, MDFamily Medicine Physician1396749834
- Kayur Bhavsar, DOEndocrinology, Diabetes & Metabolism Physician1588062251
- Stephanie Buckley, M.D.Family Medicine Physician1457617664
- Jennifer Cancino, MDFamily Medicine Physician1780676353
Verify Pratik Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D89673Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4% more Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024
2,734 Medicare Part D claims for 477 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 46% of claims.
Most prescribed
- Levothyroxine Sodium642 claims
- Metformin Hcl Er182 claims
- Ozempic181 claims
- Trulicity122 claims
- Metformin Hcl100 claims
- Farxiga82 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 80.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $640.46
7 payments; by number, the most common kind was food and beverage; the largest payer was Dexcom, Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Frederick Health Medical Group LLCIjamsville, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pratik Shah among 314 endocrinology, diabetes & metabolism physician records in Maryland
Pratik Shah, M.D. is one of 314 endocrinology, diabetes & metabolism physician records with a practice address in Maryland. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 83% of them.
- NPI issued2015 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2015 · median 2003 among the 193 with a school on file
- Record last updated2020 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Maryland
There are 314 endocrinology, diabetes & metabolism physician records in Maryland.
All 314 in Maryland → Every provider in Frederick → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Kayur Bhavsar, DOFrederick, MD 217031588062251
- Nathan Carnell, MDFrederick, MD 217031861406753
- Garima Narayen, D.O.Frederick, MD 217031285053926
- Jeanette Owusu, M.D.Frederick, MD 217031467866913
- Kiarash Zarbalian, MDFrederick, MD 217031467587063
- Majd Hakim, MDFrederick, MD 217021598871378
- Stephen Nicewarner, CRNPFrederick, MD 217011548975253
- Martin Sarkar, D.O.Frederick, MD 217011518005636
Common questions
What is Pratik Shah, M.D.'s NPI number?
Pratik Shah, M.D.'s National Provider Identifier (NPI) is 1871977793, issued on Jul 10, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Pratik Shah, M.D. located?
The NPPES record lists a practice address at 7211 Bank CT, Frederick, MD, 21703. Phone: (240) 566-7830. Providers update this record themselves, so call before visiting.
How can I verify Pratik Shah, M.D.'s license?
NPPES lists Maryland license number D89673, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pratik Shah, M.D. prescribe under Medicare Part D?
In 2024, Pratik Shah, M.D. had 2,734 Medicare Part D claims for 477 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Pratik Shah, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.