2026 NPPES data Otolaryngology Physician NPI 1407848039 MD
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PRERAK SHAH, MD

Otolaryngology Physician in N ANDOVER, Massachusetts. 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
414
Medicare Part D claims · 177 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.592/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: PRERAK SHAH, MD is a Otolaryngology Physician ([object Object]) practicing in N ANDOVER, Massachusetts with a Medicare Part D prescribing footprint of 414 claims across 177 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 77.592/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

PRERAK SHAH, MD reported a CMS MIPS final score of 77.592/100 — below the 83.1 national average — and filed 414 Medicare Part D claims in 2023.

77.592/100
MIPS score · -6 vs avg
414
Part D claims, 2023
95%
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.

PRERAK SHAH, MD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

PRERAK SHAH, 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).

PRERAK SHAH, MD at a glance

Below national average

NPI registry status

Active

Issued 08/19/2005

NPI 1407848039

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

414 19% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

77.592/100 5.507999999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Otolaryngology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Otolaryngology Physician share within Massachusetts

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

Medicare quality performance — MIPS

PRERAK SHAH, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
77.592/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 77.592/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Otolaryngology Physician) — 77.592/100 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).

PRERAK SHAH, MD is a Otolaryngology Physician provider practicing in N ANDOVER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407848039. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PRERAK SHAH, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 198 MASSACHUSETTS AVE, N ANDOVER, MA, 01845, with a listed phone of (978) 685-7550. NPI 1407848039 was issued on 08/19/2005. 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 414 prescription claims written by this provider, covering 177 Medicare beneficiaries and totaling roughly $8K in drug spend, split 5% brand-name and 95% 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 77.592/100 for the 2023 performance year (Quality 52.8962), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

198 MASSACHUSETTS AVE
N ANDOVER, MA 01845

Provider Details

NPI 1407848039
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/19/2005

CMS Quality Score (MIPS)

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

77.592
Final Score
Avg: 83.1
52.8962
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where PRERAK SHAH, 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.

NEW ENGLAND EAR NOSE AND THROAT/FACIAL PLASTIC SURGERY PC
SALEM, NH

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 PRERAK SHAH, MD. To verify PRERAK SHAH, MD'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 · Generic-heavy

PRERAK SHAH, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 414 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.

414
Total Claims
$8K
Total Drug Cost
177
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
628
Total Day Supply
15,770
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$2K
Generic Drug Cost
$6K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.31
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
165
Famotidine
54
Mupirocin
32
Ipratropium Bromide
20
Methylprednisolone
20
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
17
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Cephalexin
11

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

Otolaryngology Physician Overview

How PRERAK SHAH, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

PRERAK SHAH, MD's 414 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is PRERAK SHAH, MD's specialty?
PRERAK SHAH, MD specializes in Otolaryngology Physician and practices in N ANDOVER, Massachusetts. Credentials: MD.
How much does PRERAK SHAH, MD prescribe under Medicare Part D?
In 2023, PRERAK SHAH, MD wrote 414 Medicare Part D claims totaling $8K in drug costs for 177 beneficiaries.
What is PRERAK SHAH, MD's Medicare quality score?
PRERAK SHAH, MD has a CMS MIPS Final Score of 77.592/100 (Quality: 52.8962). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRERAK SHAH, MD located?
PRERAK SHAH, MD is located at 198 MASSACHUSETTS AVE, N ANDOVER, MA, 01845. Phone: (978) 685-7550.
What is PRERAK SHAH, MD's NPI number?
PRERAK SHAH, MD's National Provider Identifier (NPI) is 1407848039, issued on 08/19/2005.
Does PRERAK SHAH, MD prescribe more brand-name or generic drugs?
PRERAK SHAH, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $2K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does PRERAK SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, PRERAK SHAH, MD's most frequently prescribed drugs include Fluticasone Propionate, Famotidine, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRERAK SHAH, MD accept Medicare?
PRERAK SHAH, MD appears in CMS Medicare data with 414 Part D claims and 177 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRERAK SHAH, MD's credentials?
PRERAK SHAH, MD's NPI is 1407848039 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