NPPES file of Aug 9, 2026

Shwe Win, MD

Hospitalist Physician · Utica, NY

Shwe Win, MD is a hospitalist physician with a practice address in Utica, New York, and NPI 1699971119, issued on Jun 22, 2007. Check the license (New York 003461, as entered in NPPES) on the NYS Education Department, Office of the Professions; 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
1699971119
Name
Shwe Win
Credential
MD
Primary taxonomy
Hospitalist Physician 208M00000X
License number
003461 NY
Self-reported in NPPES; status is on the state search
Practice location
2209 Genesee St, Utica, NY 13501
Phone
(315) 798-8263
Enumerated
Jun 22, 2007
Record last updated
Jan 25, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(315) 734-4988
Medicaid ID
03179733 NY
Medicare enrollment
Enrolled (PECOS I20100319000596); accepts Medicare assignment
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 2209 Genesee St

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

  1. Katrina Abdalla, PASurgical Physician Assistant1669722500
  2. Rafael Achecar, MDAnesthesiology Physician1407805542
  3. Nabin Adhikari, MDHospitalist Physician1518278423
  4. Rebecca Albaugh, DPTPhysical Therapist1962738773
  5. Raphael Alcuri, M.D.Diagnostic Radiology Physician1184616039
  6. Peter Arches, MDAnesthesiology Physician1316943962

Verify Shwe Win in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 003461
    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 New York 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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18% more Medicare Part D claims than the average hospitalist physician in 2024

616 Medicare Part D claims for 192 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 29 claims were for opioids.

  1. Shwe Win616
  2. Specialty average521

Most prescribed

  1. Pantoprazole Sodium42 claims
  2. Cefpodoxime Proxetil37 claims
  3. Prednisone26 claims
  4. Atorvastatin Calcium22 claims
  5. Hydrocodone-Acetaminophen20 claims
  6. Losartan Potassium19 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): 86.1 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 score81.5
  2. Costout of 100 · 30%64.5
  3. Promoting interoperabilityout of 100 · 25%99.0
  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: $78.25

3 payments; by number, the most common kind was food and beverage; the largest payer was Csl Behring. The 7,324 providers of this specialty with any payment received $494.84 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Shwe Win$78.25
  2. Specialty average$494.84

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Mvhs IncUtica, NY
  2. New York Medical Physician Associates PCUtica, NY

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

Shwe Win among 2,067 hospitalist physician records in New York

Shwe Win, MD is one of 2,067 hospitalist physician records with a practice address in New York. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 12% of them.

  • NPI issued2007 · 12% of these records are older, 83% newer
  • In a Medicare fileYes · 93% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2000 · median 2013 among the 1,716 with a school on file
  • Record last updated2012 · 37% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hospitalist Physician providers in New York

There are 2,067 hospitalist physician records in New York.

The 8 hospitalist physician records with the nearest ZIP codes

  1. Nabin Adhikari, MDUtica, NY 135011518278423
  2. William Jorgensen, DOUtica, NY 135011205826153
  3. Ranjit Mandhare, MDUtica, NY 135011942569082
  4. Virendra Sharma, MDUtica, NY 135011003807041
  5. Vishal VakaniUtica, NY 135011306257613
  6. Satish Gedela, MDUtica, NY 135021629238886
  7. Hamerton Jeanty, M.D.Utica, NY 135021215297882
  8. Goutham Malempati, M.D.Utica, NY 135021174729891

Common questions

What is Shwe Win, MD's NPI number?

Shwe Win, MD's National Provider Identifier (NPI) is 1699971119, issued on Jun 22, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Shwe Win, MD located?

The NPPES record lists a practice address at 2209 Genesee St, Utica, NY, 13501. Phone: (315) 798-8263. Providers update this record themselves, so call before visiting.

How can I verify Shwe Win, MD's license?

NPPES lists New York license number 003461, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Shwe Win, MD prescribe under Medicare Part D?

In 2024, Shwe Win, MD had 616 Medicare Part D claims for 192 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.

What is Shwe Win, MD's MIPS final score?

The 2023 MIPS final score is 86.1 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.