Physician

Shahriar Pirouz, M.D.

According to 2025 Medicare claims, Shahriar Pirouz, M.D. (NPI: 1922201508) practices anesthesiology in the San Luis Obispo-Paso Robles, CA market, with the plurality of this provider's patient population coming from San Luis Obispo, CA. This provider's primary affiliated billing organization is PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP (NPI: 1265435416; TIN: 770464675) and primary practice location at 93405-5825.

Pirouz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 461 traditional Medicare patients, billed 4,692 HCPCS/CPT codes, and received $394,678 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 3,667 prescription claims across 416 beneficiaries totaling $116,700 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). Open Payments data shows 90 records totaling $19,366. 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 risen steadily, from $55,101 to $394,678. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $39,829 and ending at $116,700. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	190	941	$55,101
2016	359	3,162	$198,801
2017	328	3,423	$236,915
2018	493	3,488	$254,442
2019	431	3,368	$240,268
2020	373	2,848	$205,131
2021	412	3,271	$269,369
2022	402	3,623	$308,690
2023	438	4,365	$394,025
2024	461	4,692	$394,678

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	119	521	$39,829
2016	236	2,046	$240,258
2017	205	1,942	$122,099
2018	355	2,530	$188,102
2019	351	2,515	$163,616
2020	277	1,870	$63,356
2021	334	2,477	$96,787
2022	327	3,365	$157,137
2023	343	3,128	$129,020
2024	416	3,667	$116,700

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$114
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	2,616	$89
62323	Injection of substance into lower spine canal using imaging guidance	78	86	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	114	346	$63
80307	Testing for presence of drug, by chemistry analyzers	337	814	$61

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	1,123	32,784	$33,480
Lyrica	Pregabalin	12	360	$9,654
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	291	8,142	$9,308
Buprenorphine	Buprenorphine	64	1,771	$8,115
Gabapentin	Gabapentin	469	14,910	$6,586

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	90	$19,366	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Shahriar Pirouz, M.D.?

Tedicare shows public-source Medicare data for Shahriar Pirouz, M.D. (NPI 1922201508), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Shahriar Pirouz, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Shahriar Pirouz, M.D.?

Shahriar Pirouz, M.D. is linked to PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP (billing NPI 1265435416) in the available physician profile data.

Does Shahriar Pirouz, M.D. have Open Payments data?

Shahriar Pirouz, M.D. has 90 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.