Physician

Niraj Shirish Shah, M.D.

According to 2025 Medicare claims, Niraj Shah, M.D. (NPI: 1386968022) practices ophthalmology in the Toledo, OH market, with the plurality of this provider's patient population coming from Wood, OH. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 43402-2662. Shah is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Shah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,069 traditional Medicare patients, billed 15,798 HCPCS/CPT codes, and received $2,625,413 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 846 prescription claims across 254 beneficiaries totaling $15,787 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 35 records totaling $2,498. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $13,842 to $2,625,413. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $13,861 to $15,787. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.