2026 NPPES data Ophthalmology Physician NPI 1467951814 DO
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ZUBIN SHAH, DO

Ophthalmology Physician in HICKORY, North Carolina. 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
258
Medicare Part D claims · 109 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.1674/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$478.67
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ZUBIN SHAH, DO reported a CMS MIPS final score of 91.1674/100 — above the 83.1 national average — and filed 258 Medicare Part D claims in 2023.

91.1674/100
MIPS score · +8 vs avg
258
Part D claims, 2023
55%
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.

ZUBIN SHAH, DO's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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)

ZUBIN SHAH, DO 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 ZUBIN SHAH, DO?

High performer (top quartile)

NPI registry status

Active

Issued 02/12/2018

NPI 1467951814

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

258 82% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

91.1674/100 8.067400000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Ophthalmology Physician compares to other specialties among North Carolina providers

North Carolina providers

Ophthalmology Physician share within North Carolina

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within North Carolina

Medicare quality performance — MIPS

ZUBIN SHAH, DO's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
91.1674/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 91.1674/100 vs national avg 83.1

0%100%National avg83%91.2%
MIPS final score (Ophthalmology Physician) — 91.1674/100 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).

ZUBIN SHAH, DO appears in the CMS NPPES registry as a Ophthalmology Physician provider holding DO credentials at 2424 CENTURY PL SE, HICKORY, NC, 28602, with a listed phone of (828) 322-2050. NPI 1467951814 was issued on 02/12/2018. 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 258 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $47K in drug spend, split 45% brand-name and 55% 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 91.1674/100 for the 2023 performance year (Quality 100, Cost 70.5579), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

2424 CENTURY PL SE
HICKORY, NC 28602

Provider Details

NPI 1467951814
Specialty Ophthalmology Physician
Credentials DO
Gender Male
NPI Issued 02/12/2018

CMS Quality Score (MIPS)

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

91.1674
Final Score
Avg: 83.1
100
Quality
70.5579
Cost

Reporting: Group practice

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 ZUBIN SHAH, DO. Source: openpaymentsdata.cms.gov.

Total received

$479

Largest payer

NEW WORLD MEDICAL,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

ZUBIN SHAH, DO — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 258 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.

258
Total Claims
$47K
Total Drug Cost
109
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
370
Total Day Supply
10,116
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$43K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.53
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ZUBIN SHAH, DO 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
Latanoprost
68
Restasis
Cyclosporine
25
Prednisolone Acetate
22
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
18
Lumigan
Bimatoprost
16

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How ZUBIN SHAH, DO fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ZUBIN SHAH, DO's 258 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as SHAH.

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

Frequently Asked Questions

What is ZUBIN SHAH, DO's specialty?
ZUBIN SHAH, DO specializes in Ophthalmology Physician and practices in HICKORY, North Carolina. Credentials: DO.
How much does ZUBIN SHAH, DO prescribe under Medicare Part D?
In 2023, ZUBIN SHAH, DO wrote 258 Medicare Part D claims totaling $47K in drug costs for 109 beneficiaries.
What is ZUBIN SHAH, DO's Medicare quality score?
ZUBIN SHAH, DO has a CMS MIPS Final Score of 91.1674/100 (Quality: 100, Cost: 70.5579). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ZUBIN SHAH, DO located?
ZUBIN SHAH, DO is located at 2424 CENTURY PL SE, HICKORY, NC, 28602. Phone: (828) 322-2050.
What is ZUBIN SHAH, DO's NPI number?
ZUBIN SHAH, DO's National Provider Identifier (NPI) is 1467951814, issued on 02/12/2018.
Does ZUBIN SHAH, DO prescribe more brand-name or generic drugs?
ZUBIN SHAH, DO's prescribing is 45% brand-name and 55% generic drugs by claim count, with $43K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ZUBIN SHAH, DO prescribe most often?
Based on 2023 Medicare Part D data, ZUBIN SHAH, DO's most frequently prescribed drugs include Latanoprost, Restasis, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZUBIN SHAH, DO accept Medicare?
ZUBIN SHAH, DO appears in CMS Medicare data with 258 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZUBIN SHAH, DO's credentials?
ZUBIN SHAH, DO's NPI is 1467951814 with credentials DO. 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