Sajjad Shah, M.DM
Sleep Medicine (Internal Medicine) Physician in Wyomissing, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 859 in Sleep Medicine (Internal Medicine) Physician, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Sajjad Shah, M.DM reported a CMS MIPS final score of 16/100 - below the 83.1 national average - and filed 1,519 Medicare Part D claims in 2023.
- 16/100
- MIPS score · -67 vs avg
- 2K
- Part D claims, 2023
- 49%
- 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.
Sajjad Shah, M.DM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
16 2nd percentile higher than 2% of 477,587 scored providers
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
Where Sajjad Shah, M.DM sits
This provider among sleep medicine (internal medicine) physician peers
Across the 295 sleep medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sajjad Shah, M.DM writes more Part D claims than 67% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-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 sleep medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Sajjad Shah, M.DM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Sajjad Shah, M.DM 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).
What does the federal data show about Sajjad Shah, M.DM?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Pennsylvania
How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers
Sleep Medicine (Internal Medicine) Physician ranks #225 among Pennsylvania's specialties (0% of in-state providers)
Each bar is a specialty's share of the Pennsylvania provider total, by primary NUCC taxonomy. The highlighted bar is Sleep Medicine (Internal Medicine) Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Sajjad Shah, M.DM's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 16/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 16/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Sleep Medicine (Internal Medicine) Physician US NPIs
16/100 MIPS final score - 67.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Sleep Medicine (Internal Medicine) Physician. Quality dim: 0. Cost dim: 53.2.
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).
Sajjad Shah, M.DM appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding M.DM credentials at 2608 KEISER BLVD, Wyomissing, PA, 19610, with a listed phone of (610) 929-5864. NPI 1770502155 was issued on 07/18/2006.
Medicare Part D records for calendar year 2023 show 1,519 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 51% brand-name and 49% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 16/100 for the 2023 performance year (Quality 0, Cost 53.2), compared with the national average of 83.1.
Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 859 enrolled providers across 52 states and an average of 1,310 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 | 1770502155 |
|---|---|
| Specialty | Sleep Medicine (Internal Medicine) Physician |
| Credentials | M.DM |
| Gender | Male |
| NPI Issued | 07/18/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Sajjad Shah, M.DM's current license status, disciplinary history, and board certifications with the Pennsylvania State Board of Medicine in Pennsylvania before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1770502155 is the unique 10-digit identifier CMS uses to link Shah across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where Sajjad Shah, M.DM 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Sajjad Shah, M.DM. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
Regeneron Healthcare Solutions, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Sajjad Shah, M.DM. To verify Sajjad Shah, M.DM's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
51% brand-name claims vs 49% generic, on 1,519 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.
Prescribing Breakdown
- 30-Day Fills
- 2,198
- Total Day Supply
- 63,041
- Brand vs Generic
- 51% brand / 49% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $39K
- Antibiotic Claims
- 36
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.86
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 39, 65-74: 104, 75-84: 62, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sajjad Shah, M.DM prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
181 claims
- Trelegy Ellipta
Trelegy Ellipta
130 claims
- Montelukast Sodium
Montelukast Sodium
119 claims
- Prednisone 64
Prednisone
64 claims
- Breo Ellipta 59
Breo Ellipta
59 claims
- Symbicort 58
Symbicort
58 claims
- Doxepin Hcl 54
Doxepin Hcl
54 claims
- Spiriva Respimat 53
Spiriva Respimat
53 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 181 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 130 |
| Montelukast Sodium | 119 |
| Prednisone | 64 |
| Breo Ellipta Fluticasone/Vilanterol | 59 |
| Symbicort Budesonide/Formoterol Fumarate | 58 |
| Doxepin Hcl | 54 |
| Spiriva Respimat Tiotropium Bromide | 53 |
| Zolpidem Tartrate | 53 |
| Advair Diskus Fluticasone Propion/Salmeterol | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Sleep Medicine (Internal Medicine) Physician Overview
How Sajjad Shah, M.DM fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.
Sajjad Shah, M.DM's 1,519 claims are above the specialty average of 1,310.
Nearby Sleep Medicine (Internal Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Shah.
Compare Sleep Medicine (Internal 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Internal 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.
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Frequently Asked Questions
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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.
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