What is Nirav Sheth's specialty?

Nirav Sheth (NPI 1063671709) is a Medicare-billing provider whose primary specialty is Internal Medicine in Abington, PA.

Where does Nirav Sheth practice?

Nirav Sheth practices in Abington, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1063671709.

How much does Medicare pay Nirav Sheth?

Nirav Sheth (NPI 1063671709) received approximately $38K in total Medicare Part B payments, serving 217 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1063671709

Nirav ShethMD

Internal MedicineAbington, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

348

Unique beneficiaries

—

Total services

501

Distinct HCPCS

Medicare payment

$37K

Peer benchmark

Total Medicare services vs. 4,434 Internal Medicine providers in PA — below median (cohort median 550).

PRESCRIBING · PART D · 2024

Total Rx claims

165

Beneficiaries

—

Total drug cost

$9K

Distinct drugs

Brand share

17.6%

Top prescribed drugs

Metoprolol Succinate17 claims

Amlodipine Besylate16 claims

Tramadol Hcl15 claims

Apixaban15 claims

Prednisone15 claims

QUALITY · MIPS · 2024

Final MIPS score

79.9

Quality

61.2

Cost

71.9

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.21%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 100030

Hospital

CCN 390153

Hospital

REFERRAL NETWORK

Where Nirav Sheth's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 53 inbound referrers · 142 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Gold Cross Ems, Inc. Ambulance Service Provider · Martinez, GA	122	221
Jose Bauza Diagnostic Radiology · Augusta, GA	105	189
Harold Jones Diagnostic Radiology · Evans, GA	93	152
Rodney Hobbs Diagnostic Radiology · Evans, GA	83	138
William Johnson Diagnostic Radiology · Evans, GA	76	120
BROOKS, WILLIAM	55	87
PRATHER, STUART	48	66
Forrest Walker Diagnostic Radiology · Augusta, GA	41	61
Ryan Johnson Emergency Medicine · Waynesboro, GA	37	56
Ashok Malhi Hospitalist · Sherman, TX	37	69
Abiy Mekoya Internal Medicine · Augusta, GA	33	61
James Davis Diagnostic Radiology · Evans, GA	32	52

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UNIVERSITY HEALTH SERVICES,INC	433	932
Jose Bauza Diagnostic Radiology · Augusta, GA	172	340
Gold Cross Ems, Inc. Ambulance Service Provider · Martinez, GA	150	298
Rodney Hobbs Diagnostic Radiology · Evans, GA	128	229
Harold Jones Diagnostic Radiology · Evans, GA	107	187
William Johnson Diagnostic Radiology · Evans, GA	104	186
ARRINGTON, LAWRENCE	90	165
Steven Rogers Diagnostic Radiology · Evans, GA	76	128
Capital City Ambulance Of Georgia Inc Ambulance Service Provider · Augusta, GA	70	229
Melissa Stone Diagnostic Radiology · Evans, GA	65	109
PRATHER, STUART	64	100
Forrest Walker Diagnostic Radiology · Augusta, GA	60	89

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events