Medicare Enrolled

Dr. Nirav Shah, MD

Orthopedic Surgery · Palos Heights, IL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
7600 W COLLEGE DR, Palos Heights, IL 60463
7083610600
Registered in NPPES since 2008
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 in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Shah received a total of $98,795 from 14 pharmaceutical and/or device companies across 234 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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 of NPI registration ▲ Top 13% volume in IL $98,795 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
5,194
Medicare services
Top 13% in IL for orthopedic surgery
Not available
Unique patients (not deduplicated)
$35
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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. These counts do not measure clinical quality or years of experience.
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
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

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)

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? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
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.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons in nearby ZIP areas
485
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
PALOS COMMUNITY HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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 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. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Shah receive payments from pharmaceutical companies?
Yes. Dr. Shah received a total of $98,795 from 14 companies across 234 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →