2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1770502155 M.DM
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SAJJAD SHAH, M.DM

Sleep Medicine (Internal Medicine) Physician in WYOMISSING, Pennsylvania. 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
2K
Medicare Part D claims · 224 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
15.9528/100
▼ 67 pts below national avg 83.1 · [object Object]
Industry payments
$1.8K
65 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAJJAD SHAH, M.DM reported a CMS MIPS final score of 15.9528/100 — below the 83.1 national average — and filed 1,519 Medicare Part D claims in 2023.

15.9528/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

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 average

NPI registry status

Active

Issued 07/18/2006

NPI 1770502155

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

1,519 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

15.9528/100 67.1472% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sleep Medicine (Internal Medicine) Physician share within Pennsylvania

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

SAJJAD SHAH, M.DM's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
15.9528/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 15.9528/100 vs national avg 83.1

0%100%National avg83%16%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 15.9528/100 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).

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. 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 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. 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 15.9528/100 for the 2023 performance year (Quality 0, Cost 53.1759), compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 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

2608 KEISER BLVD
WYOMISSING, PA 19610

Provider Details

NPI 1770502155
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials M.DM
Gender Male
NPI Issued 07/18/2006

CMS Quality Score (MIPS)

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

15.9528
Final Score
Avg: 83.1
0
Quality
53.1759
Cost
0
Promoting Interoperability

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.

RESPIRATORY SPECIALISTS LTD
WYOMISSING, PA

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.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

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

SAJJAD SHAH, M.DM — brand share 51.0%
Specialty average (est.)

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.

1,519
Total Claims
$1.2M
Total Drug Cost
224
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

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 →

Frequently Asked Questions

What is SAJJAD SHAH, M.DM's specialty?
SAJJAD SHAH, M.DM specializes in Sleep Medicine (Internal Medicine) Physician and practices in WYOMISSING, Pennsylvania. Credentials: M.DM.
How much does SAJJAD SHAH, M.DM prescribe under Medicare Part D?
In 2023, SAJJAD SHAH, M.DM wrote 1,519 Medicare Part D claims totaling $1.2M in drug costs for 224 beneficiaries.
What is SAJJAD SHAH, M.DM's Medicare quality score?
SAJJAD SHAH, M.DM has a CMS MIPS Final Score of 15.9528/100 (Quality: 0, Cost: 53.1759). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAJJAD SHAH, M.DM located?
SAJJAD SHAH, M.DM is located at 2608 KEISER BLVD, WYOMISSING, PA, 19610. Phone: (610) 929-5864.
What is SAJJAD SHAH, M.DM's NPI number?
SAJJAD SHAH, M.DM's National Provider Identifier (NPI) is 1770502155, issued on 07/18/2006.
Does SAJJAD SHAH, M.DM prescribe more brand-name or generic drugs?
SAJJAD SHAH, M.DM's prescribing is 51% brand-name and 49% generic drugs by claim count, with $1.1M in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does SAJJAD SHAH, M.DM prescribe most often?
Based on 2023 Medicare Part D data, SAJJAD SHAH, M.DM's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAJJAD SHAH, M.DM accept Medicare?
SAJJAD SHAH, M.DM appears in CMS Medicare data with 1,519 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAJJAD SHAH, M.DM's credentials?
SAJJAD SHAH, M.DM's NPI is 1770502155 with credentials M.DM. 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