Medicare Enrolled

Dr. Nirav Shah, MD

Orthopedic Surgery · Palos Heights, IL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Speaking/Promotional
7600 W COLLEGE DR, Palos Heights, IL 60463
7083610600
In practice since 2008 (17 years)
NPI: 1770733354 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Shah from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Shah

Dr. Nirav Shah is an orthopedic surgery specialist in Palos Heights, IL, with 17 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 5,194 Medicare services across 1,624 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shah received a total of $98,795 from 14 pharmaceutical and/or device companies across 234 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Shah is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 17 years in practice ▲ Top 13% volume in IL $98,795 industry payments

Medicare Practice Summary

Medicare Utilization ↗
5,194
Medicare services
Top 13% in IL for orthopedic surgery
1,624
Unique beneficiaries
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~306 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Joint lubricant injection (TriVisc)
An injection of hyaluronan or a derivative into a joint space. The dose specified is 1 milligram.
2,000 $7 $60
Physical therapy exercise, per 15 min
A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately.
814 $21 $104
Manual therapy (hands-on treatment), per 15 min 675 $16 $92
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
313 $100 $300
Functional activity therapy
A therapy procedure that utilizes functional activities as part of the treatment process.
286 $27 $91
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
213 $25 $180
Neuromuscular re-education therapy, per 15 min
A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments.
210 $24 $102
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
163 $83 $400
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
101 $126 $421
Methylprednisolone acetate injection, 80 mg
An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication.
95 $9 $21
Knee X-ray, 4 or more views
An imaging test using X-rays to create multiple pictures of the knee joint from different angles.
87 $34 $200
Evaluation for physical therapy, typically 30 minutes 51 $75 $236
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
29 $67 $207
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
25 $55 $317
Evaluation for physical therapy, typically 20 minutes 25 $75 $220
Arthroscopic shoulder debridement
A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions.
17 $111 $7,366
Partial collarbone removal via endoscope
This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon.
17 $186 $6,139
Arthroscopic shoulder surgery for bone shaving and ligament repair
A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament.
17 $154 $7,460
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
16 $951 $11,485
Endoscopic release of biceps tendon
A minimally invasive procedure using an endoscope to release the tendon that connects the biceps muscle to the shoulder.
16 $424 $10,669
Total shoulder joint prosthetic repair
Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function.
13 $1,287 $16,540
Anchoring of biceps tendon 11 $331 $8,461
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.3% high complexity
44.0% medium
55.7% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$98,795
Total received (2018-2024)
Avg $14,114/year across 7 years
Top 9% in IL for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
14
Companies
234
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$96,067 (97.2%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,178 (2.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$550 (0.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,850
2023
$17,970
2022
$18,051
2021
$18,571
2020
$73
2019
$18,899
2018
$20,380

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Arthrex, Inc.
$4,514
Lightbody Medical Technologies Inc
$184
Zimmer Biomet Holdings, Inc.
$112
Smith+Nephew, Inc.
$40
Top 3 companies account for 99.2% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$89,793
Medwest Associates
$7,084
Vericel Corporation
$640
LIGHTBODY MEDICAL TECHNOLOGIES INC
$467
Lightbody Medical Technologies Inc
$184
BIOTISSUE HOLDINGS, INC.
$163
Nevro Corp.
$137
Zimmer Biomet Holdings, Inc.
$112
Medtronic, Inc.
$50
Stryker Corporation
$45
Fidia Pharma USA Inc.
$45
Smith+Nephew, Inc.
$40
Globus Medical, Inc.
$20
Flexion Therapeutics, Inc.
$16
Top 3 companies account for 98.7% of all-time payments
Associated products mentioned in payments ›
ActivBraid · BIOLOGICS CONSUMABLES SOFT TISSUE REPAIR AMNION · BIOLOGICS CONSUMABLES SOFT TISSUE REPAIR ARTHROFLEX · Bioinductive Implant with Arthroscopic Delivery System - Medium · HYMOVIS · ICONIX · MACI · MIDAS REX · Proximal Tibia Plate · Senza · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (97%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in orthopedic surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for orthopedic surgery in IL.

Looking for an orthopedic surgery specialist in Palos Heights?
Compare orthopedic surgeons in the Palos Heights area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Orthopedic surgeons within 10 mi
485
Per 100K population
9.4
County median income
$81,797
Nearest hospital
PALOS COMMUNITY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Shah is a mixed practice specialist, with above-average Medicare volume (top 13% in IL), with speaking/promotional industry engagement in the top 9% of IL peers, with 17 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Shah experienced with joint lubricant injection (trivisc)?
Based on Medicare claims data, Dr. Shah performed 2,000 joint lubricant injection (trivisc) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $98,795 from 14 companies across 234 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Shah's costs compare to other orthopedic surgeons in Palos Heights?
Dr. Shah's average Medicare payment per service is $35. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Shah) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →