NPPES file of Aug 9, 2026

Rohan Shah, M.D.

Retina Specialist (Ophthalmology) Physician · Hixson, TN

Rohan Shah, M.D. is a retina specialist (ophthalmology) physician with a practice address in Hixson, Tennessee, and NPI 1811139470, issued on Mar 29, 2009. Check the license (Tennessee MD48412, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1811139470
Name
Rohan Shah
Credential
M.D.
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
MD48412 TN
Self-reported in NPPES; status is on the state search
Practice location
1605 Williams RD, Hixson, TN 37343
Phone
(423) 756-1002
Enumerated
Mar 29, 2009
Record last updated
Feb 15, 2024
Fax
(423) 756-1004
Medicare enrollment
Enrolled (PECOS I20120709000376); accepts Medicare assignment
Medical or professional school
Vanderbilt University School Of Medicine, 2008
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1605 Williams RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Richard Breazeale, M.D.Retina Specialist (Ophthalmology) Physician1801892146
  2. Joshua McKinney, D.D.SDentist1538545157
  3. Jesse Pollom, DDSGeneral Practice Dentistry1013526946
  4. Austin Toler, DMDGeneral Practice Dentistry1881439529
  5. Sydney Wingfield, DDSDentist1912891631

Verify Rohan Shah in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTennessee Board of Medical Examiners
    Search for license MD48412
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Tennessee license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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32% more Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

820 Medicare Part D claims for 243 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 35% of claims.

  1. Rohan Shah820
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate221 claims
  2. Ketorolac Tromethamine117 claims
  3. Dorzolamide-Timolol70 claims
  4. Neomycin-Polymyxin-Dexameth56 claims
  5. Latanoprost50 claims
  6. Brimonidine Tartrate49 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): 96.3 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.

  1. Qualityout of 100 · 30% of the final score97.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%93.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $298.21

4 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Rohan Shah$298.21
  2. Specialty average$7,667.49

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

  1. Southeastern Retina Associates PCKnoxville, TN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Rohan Shah among 60 retina specialist (ophthalmology) physician records in Tennessee

Rohan Shah, M.D. is one of 60 retina specialist (ophthalmology) physician records with a practice address in Tennessee. 98% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 58% of them.

  • NPI issued2009 · 58% of these records are older, 35% newer
  • In a Medicare fileYes · 98% of these records are
  • In the CMS Doctors and Clinicians fileYes · 92% of these records are
  • Graduated2008 · median 2006 among the 55 with a school on file
  • Record last updated2024 · 30% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Tennessee

There are 60 retina specialist (ophthalmology) physician records in Tennessee.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Richard Breazeale, M.D.Hixson, TN 373431801892146
  2. Francis Decroos, M.D.Hixson, TN 373431871627554
  3. Devon Ghodasra, M.D.Hixson, TN 373431619298262
  4. Asghar Haider, MDHixson, TN 373431801271457
  5. Robert Collier, MDTullahoma, TN 373881518952597
  6. Randall Funderburk, MDChattanooga, TN 374211699771931
  7. Pedro Monsalve Diaz, MDChattanooga, TN 374211447710504
  8. John Stone, M.D.Chattanooga, TN 374211033115373

Common questions

What is Rohan Shah, M.D.'s NPI number?

Rohan Shah, M.D.'s National Provider Identifier (NPI) is 1811139470, issued on Mar 29, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Rohan Shah, M.D. located?

The NPPES record lists a practice address at 1605 Williams RD, Hixson, TN, 37343. Phone: (423) 756-1002. Providers update this record themselves, so call before visiting.

How can I verify Rohan Shah, M.D.'s license?

NPPES lists Tennessee license number MD48412, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Rohan Shah, M.D. prescribe under Medicare Part D?

In 2024, Rohan Shah, M.D. had 820 Medicare Part D claims for 243 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Rohan Shah, M.D.'s MIPS final score?

The 2023 MIPS final score is 96.3 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.