What is Nilesh Shah's specialty?

Nilesh Shah (NPI 1366590820) is a Medicare-billing provider whose primary specialty is Otolaryngology in Seattle, WA.

Where does Nilesh Shah practice?

Nilesh Shah practices in Seattle, WA, based on the location reported in the CMS Medicare provider datasets for NPI 1366590820.

How much does Medicare pay Nilesh Shah?

Nilesh Shah (NPI 1366590820) received approximately $117K in total Medicare Part B payments, serving 392 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1366590820

Nilesh ShahM.D.

OtolaryngologySeattle, WAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

776

Unique beneficiaries

—

Total services

1,003

Distinct HCPCS

Medicare payment

$71K

Peer benchmark

Total Medicare services vs. 211 Otolaryngology providers in WA — top quintile (cohort median 614).

PRESCRIBING · PART D · 2024

Total Rx claims

759

Beneficiaries

—

Total drug cost

$16K

Distinct drugs

Brand share

8.0%

Top prescribed drugs

Fluticasone Propionate214 claims

Azelastine Hcl109 claims

Ipratropium Bromide67 claims

Famotidine50 claims

Prednisone44 claims

QUALITY · MIPS · 2024

Final MIPS score

93.8

Quality

74.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.79%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$175

Payment records

By payment type

Food and Beverage$175

Top paying entities

Food and Beverage$175

REFERRAL NETWORK

Where Nilesh Shah'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). 5 inbound referrers · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UNIVERSITY OF WASHINGTON	24	57
DELANEY, JOSEPH	16	42
Stephen Whipple Diagnostic Radiology · Lynnwood, WA	16	32
HOPKINS, RODNEY	15	26
Marc Jacobson Diagnostic Radiology · Eden Prairie, MN	14	25

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UW MEDICINE NORTHWEST	82	262
UNIVERSITY OF WASHINGTON	19	61
ALLEN, GREGORY	13	34
Sunil Ummat Otolaryngology · Kirkland, WA	13	32
Stephen Whipple Diagnostic Radiology · Lynnwood, WA	11	20
Marc Jacobson Diagnostic Radiology · Eden Prairie, MN	11	26

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