2026 NPPES data Gastroenterology Physician NPI 1811421597 M.D.
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SARDAR SHAH-KHAN, M.D.

Gastroenterology Physician in NEPTUNE, New Jersey. 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
72
Medicare Part D claims · 37 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$142.33
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SARDAR SHAH-KHAN, M.D. reported a CMS MIPS final score of 90.1191/100 — above the 83.1 national average — and filed 72 Medicare Part D claims in 2023.

90.1191/100
MIPS score · +7 vs avg
72
Part D claims, 2023
68%
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.

SARDAR SHAH-KHAN, M.D.'s MIPS score vs every scored U.S. clinician

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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

SARDAR SHAH-KHAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 SARDAR SHAH-KHAN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/19/2017

NPI 1811421597

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

72 91% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Gastroenterology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gastroenterology Physician share within New Jersey

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Jersey

Medicare quality performance — MIPS

SARDAR SHAH-KHAN, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Gastroenterology Physician) — 90.1191/100 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).

SARDAR SHAH-KHAN, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 19 DAVIS AVE FL 6, NEPTUNE, NJ, 07753, with a listed phone of (732) 897-2777. NPI 1811421597 was issued on 04/19/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH-KHAN 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 72 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $35K in drug spend, split 32% brand-name and 68% 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 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

19 DAVIS AVE FL 6
NEPTUNE, NJ 07753

Provider Details

NPI 1811421597
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 04/19/2017

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SARDAR SHAH-KHAN, M.D. 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.

APPALACHIAN REGIONAL HEALTHCARE INC
BECKLEY, WV
CARLE HEALTH CARE INCORPORATED
URBANA, IL
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
ROGERS, AR

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 SARDAR SHAH-KHAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$142

Largest payer

Takeda Pharmaceuticals U.S.A., 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.

Brand vs generic prescribing mix · Above average

SARDAR SHAH-KHAN, M.D. — brand share 32.0%
Specialty average (est.)

32% brand-name claims vs 68% generic, on 72 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.

72
Total Claims
$35K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
98
Total Day Supply
2,550
Brand vs Generic
32% brand / 68% generic
Brand Drug Cost
$33K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.75
Gender Split
57% female / 43% male

Gastroenterology Physician Overview

How SARDAR SHAH-KHAN, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

SARDAR SHAH-KHAN, M.D.'s 72 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as SHAH-KHAN.

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

Frequently Asked Questions

What is SARDAR SHAH-KHAN, M.D.'s specialty?
SARDAR SHAH-KHAN, M.D. specializes in Gastroenterology Physician and practices in NEPTUNE, New Jersey. Credentials: M.D..
How much does SARDAR SHAH-KHAN, M.D. prescribe under Medicare Part D?
In 2023, SARDAR SHAH-KHAN, M.D. wrote 72 Medicare Part D claims totaling $35K in drug costs for 37 beneficiaries.
What is SARDAR SHAH-KHAN, M.D.'s Medicare quality score?
SARDAR SHAH-KHAN, M.D. has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARDAR SHAH-KHAN, M.D. located?
SARDAR SHAH-KHAN, M.D. is located at 19 DAVIS AVE FL 6, NEPTUNE, NJ, 07753. Phone: (732) 897-2777.
What is SARDAR SHAH-KHAN, M.D.'s NPI number?
SARDAR SHAH-KHAN, M.D.'s National Provider Identifier (NPI) is 1811421597, issued on 04/19/2017.
Does SARDAR SHAH-KHAN, M.D. prescribe more brand-name or generic drugs?
SARDAR SHAH-KHAN, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $33K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does SARDAR SHAH-KHAN, M.D. accept Medicare?
SARDAR SHAH-KHAN, M.D. appears in CMS Medicare data with 72 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARDAR SHAH-KHAN, M.D.'s credentials?
SARDAR SHAH-KHAN, M.D.'s NPI is 1811421597 with credentials M.D.. 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