NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1013151018 MD
Verify on CMS → Simant Shah, MD
Emergency Medicine Physician in Philadelphia, 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 66,293 in Emergency 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
224
Medicare Part D claims · 155 beneficiaries · Emergency Medicine Physician avg: 355
MIPS score
87.9/100
▲ 4 pts above national avg 83.5 · Above neutral
Industry payments
$16.58
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Simant Shah, MD reported a CMS MIPS final score of 87.9/100 - above the 83.5 national average - and filed 224 Medicare Part D claims in 2024.
- 87.9/100
- MIPS score · +4 vs avg
- 224
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥52nd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Simant Shah, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1013151018), first enumerated 04/22/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 224 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 87.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$16.58 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Simant Shah, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1013151018 · Emergency Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1013151018
- ENUM-MID 2009
- TAX-MEGA 66K Emergency Medicine
- MIPS-ABOVE 87.9/100
- RX-LIGHT 224
- BOOK-LIGHT 3,735 in Pennsylvania
- PHOTO-FINISH Neal Aaron · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Shah · this prov…
Shah · this provider
87.9 MIPS pts
- Kirk Brown · hig…
Kirk Brown
87.9 MIPS pts
- Neal Aaron · near
Neal Aaron
87.9 MIPS pts
- Dennis Aust · near
Dennis Aust
87.9 MIPS pts
- Jason Blasenak ·…
Jason Blasenak
87.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Simant Shah, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
88 ≥ 52nd percentile 52% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Simant Shah, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Simant Shah, MD writes more Part D claims than 68% of them and scores higher on MIPS quality than 40% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Simant Shah, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Simant Shah, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Simant Shah, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
224 37% vs specialty avg
MIPS final score
87.9/100 4.4 pts vs avg
Specialty distribution in Pennsylvania
How Emergency Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Simant Shah, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 87.9/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1013151018 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/22/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.906
Final Score
Measured-score avg: 83.5
84.1793
Quality
65.2254
Cost
Reporting: Individual
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 Simant Shah, MD. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
Janssen Pharmaceuticals, 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 Simant Shah, MD. To verify Simant Shah, MD'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
224
Total Claims
$20K
Total Drug Cost
155
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 242.767
- Total Day Supply
- 3,094
- Generic Drug Cost
- $2K
- Opioid Claims
- 12 (5.4% rate)
- Antibiotic Claims
- 84
Patient Demographics
- Average Patient Age
- 68.1 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 41, 65-74: 65, 75-84: 36, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Simant Shah, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
19 claims
- Cephalexin
Cephalexin
14 claims
- Doxycycline Hyclate
Doxycycline Hyclate
13 claims
- Rexulti
Rexulti
13 claims
- Cefdinir
Cefdinir
12 claims
- Naproxen
Naproxen
11 claims
| Drug | Claims |
|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 19 |
| Cephalexin | 14 |
| Doxycycline Hyclate | 13 |
| Rexulti Brexpiprazole | 13 |
| Cefdinir | 12 |
| Naproxen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Simant Shah, MD fits within the Emergency Medicine Physician landscape nationally.
66,293
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
355
Avg Claims per Provider
Simant Shah, MD's 224 claims are below the specialty average of 355.
Nationwide Emergency Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Shah, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (87.9 here).
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Emergency Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Shah.
One of 3,735 Emergency Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Nicole Abate
MD
Phila, PA
Osman Abbasi
Bethlehem, PA
Dr. Michael Abboud
MD
Philadelphia, PA
Dr. Stephanie Abbuhl
MD
Philadelphia, PA
Dr. Rehab Abdel-Kariem
M.D.
Philadelphia, PA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Simant Shah, MD's specialty? ▼
Simant Shah, MD specializes in Emergency Medicine Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Simant Shah, MD prescribe under Medicare Part D? ▼
In 2024, Simant Shah, MD wrote 224 Medicare Part D claims totaling $20K in drug costs for 155 beneficiaries.
What is Simant Shah, MD's Medicare quality score? ▼
Simant Shah, MD has a CMS MIPS Final Score of 87.9/100 (Quality: 84.2, Cost: 65.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Simant Shah, MD located? ▼
Simant Shah, MD is located at 3400 SPRUCE ST, Philadelphia, PA, 19104. Phone: (215) 662-6305.
What is Simant Shah, MD's NPI number? ▼
Simant Shah, MD's National Provider Identifier (NPI) is 1013151018, issued on 04/22/2009.
Does Simant Shah, MD prescribe opioids? ▼
Yes, Simant Shah, MD had 12 opioid claims in 2024 with an opioid prescribing rate of 5.4%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 66,293 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 355 Medicare Part D claims per year.
What drugs does Simant Shah, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Simant Shah, MD's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Cephalexin, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Simant Shah, MD accept Medicare? ▼
Simant Shah, MD appears in CMS Medicare data with 224 Part D claims and 155 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Simant Shah, MD's credentials? ▼
Simant Shah, MD's NPI is 1013151018 with credentials MD. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.