Medicare Enrolled
Dr. Ashish Shah, M.D.
Internal Medicine · Eden, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Ashish Shah is an internal medicine specialist in Eden, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 6,726 Medicare services across 3,845 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shah received a total of $5,358 from 54 pharmaceutical and/or device companies across 372 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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.
✓ 19 years in practice
▲ Top 5% volume in NC
$5,358 industry payments
Medicare Practice Summary
Medicare Utilization ↗6,726
Medicare services
Top 5% in NC for internal medicine
3,845
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~354 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 |
|---|---|---|---|
| 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. |
1,171 | $58 | $225 |
| 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. |
584 | $81 | $250 |
| Remote patient monitoring management, 20 min/month Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month. |
459 | $35 | $90 |
| Remote patient monitoring device, 30 days Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period. |
456 | $35 | $95 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
374 | $10 | $35 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
320 | $76 | $150 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
302 | $25 | $40 |
| Annual alcohol misuse screening, 5 to 15 minutes | 283 | $17 | $40 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
280 | $122 | $200 |
| Annual depression screening | 263 | $17 | $40 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
164 | $10 | $30 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
160 | $4 | $20 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
137 | $29 | $40 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
135 | $40 | $85 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
133 | $34 | $75 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
132 | $14 | $25 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
129 | $76 | $78 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
118 | $6 | $25 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
118 | $5 | $25 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
116 | $24 | $40 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
110 | $3 | $15 |
| Injection, methylprednisolone acetate, 40 mg | 98 | $5 | $15 |
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
73 | $52 | $125 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
68 | $45 | $126 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
59 | $35 | $200 |
| Fecal immunochemical test (FIT), 1-3 simultaneous A screening test that uses a stool sample to detect hidden blood in the feces, helping to identify potential colorectal cancer. |
53 | $18 | $30 |
| Methylprednisolone acetate injection, 80 mg An injection of 80 mg of methylprednisolone acetate, a corticosteroid medication. |
52 | $8 | $20 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
50 | $38 | $80 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
42 | $41 | $70 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
39 | $51 | $100 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
34 | $151 | $310 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
32 | $16 | $32 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
26 | $156 | $250 |
| Ear wax removal A procedure to remove impacted ear wax from the ear canal. |
20 | $27 | $85 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
20 | $60 | $135 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
20 | $77 | $160 |
| Remote vital sign monitoring management, each additional 20 minutes This code covers the time spent by a provider managing patient data from remote vital sign monitoring devices. It applies to each additional 20-minute increment beyond the initial monthly service period. |
20 | $28 | $80 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
17 | $138 | $600 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
17 | $96 | $200 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
15 | $208 | $420 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
14 | $61 | $200 |
| Retinal photography (fundus photo) This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures. |
13 | $26 | $70 |
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
5.7% medium
94.1% routine
Industry Payment Transparency
Open Payments through 2024 ↗$5,358
Total received (2018-2024)
Avg $765/year across 7 years
Top 16% in NC for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
54
Companies
372
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,338 (99.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$841
2023
$318
2022
$31
2021
$162
2020
$1,087
2019
$1,373
2018
$1,546
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$277
Lilly USA, LLC
$107
ABBVIE INC.
$47
Boehringer Ingelheim Pharmaceuticals, Inc.
$37
Novo Nordisk Inc
$35
Sumitomo Pharma America, Inc.
$29
Amgen Inc.
$29
PFIZER INC.
$28
Mylan Specialty L.P.
$26
SANOFI-AVENTIS U.S. LLC
$25
Phathom Pharmaceuticals, Inc.
$24
Abbott Laboratories
$23
Novartis Pharmaceuticals Corporation
$22
GlaxoSmithKline, LLC.
$21
Regeneron Healthcare Solutions, Inc.
$19
Otsuka America Pharmaceutical, Inc.
$18
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Eisai Inc.
$16
CeQur Corporation
$16
Astellas Pharma US Inc
$14
Paratek Pharmaceuticals, Inc.
$13
Top 3 companies account for 51.3% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,013
Novo Nordisk Inc
$636
GlaxoSmithKline, LLC.
$505
Lilly USA, LLC
$322
SANOFI-AVENTIS U.S. LLC
$273
Astellas Pharma US Inc
$243
Novartis Pharmaceuticals Corporation
$239
Boehringer Ingelheim Pharmaceuticals, Inc.
$207
Amgen Inc.
$200
PFIZER INC.
$196
Abbott Laboratories
$144
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$122
Mylan Specialty L.P.
$66
Sunovion Pharmaceuticals Inc.
$65
Allergan, Inc.
$62
Amarin Pharma Inc.
$62
Regeneron Healthcare Solutions, Inc.
$51
AbbVie, Inc.
$49
Circassia Pharmaceuticals Inc
$49
Janssen Pharmaceuticals, Inc
$47
Allergan Inc.
$47
ABBVIE INC.
$47
Ferring Pharmaceuticals Inc.
$46
Merck Sharp & Dohme Corporation
$45
Ironwood Pharmaceuticals, Inc
$37
IRONWOOD PHARMACEUTICALS, INC
$37
Philips Electronics North America Corporation
$35
Otsuka America Pharmaceutical, Inc.
$35
Synergy Pharmaceuticals Inc
$34
Sumitomo Pharma America, Inc.
$29
Eisai Inc.
$28
Takeda Pharmaceuticals U.S.A., Inc.
$27
Horizon Therapeutics plc
$26
Phathom Pharmaceuticals, Inc.
$24
Kowa Pharmaceuticals America, Inc.
$23
SCILEX PHARMACEUTICALS INC.
$21
Bayer Healthcare Pharmaceuticals Inc.
$20
Genentech USA, Inc.
$19
Arbor Pharmaceuticals, Inc.
$17
ARBOR PHARMACEUTICALS, INC.
$17
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$17
Mannkind Corporation
$17
Xeris Pharmaceuticals, Inc.
$17
CeQur Corporation
$16
Insulet Corporation
$15
QOL Medical, LLC
$15
AbbVie Inc.
$15
JAZZ PHARMACEUTICALS INC.
$14
Paratek Pharmaceuticals, Inc.
$13
Medtronic MiniMed, Inc.
$13
ARALEZ PHARMACEUTICALS US INC.
$12
Adamas Pharmaceuticals, Inc.
$11
Medtronic Vascular, Inc.
$11
Supernus Pharmaceuticals, Inc.
$11
Top 3 companies account for 40.2% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ADVAIR · AFREZZA · AIRSUPRA · ANORO · ANORO ELLIPTA · Aimovig · Amitiza · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYDUREON · CAPLYTA · CHANTIX · CeQur Simplicity · DALVANCE · DUAKLIR PRESSAIR · DUZALLO · Dayvigo · EMGALITY · ENTRESTO · ETERNA · EUFLEXXA · EVENITY · EVKEEZA · Edarbi · FARXIGA · FASENRA · FreeStyle Libre blood glucose Flash Monitoring System · GEMTESA · GOCOVRI · GVOKE HYPOPEN · HeartWare HVAD · Horizant · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · Leqembi · Linzess · Livalo · MITRACLIP · MOUNJARO · MOVANTIK · MYRBETRIQ · Minimed 630G · NUEDEXTA · NURTEC ODT · NUZYRA · Omnipod · Otezla · Ozempic · PRALUENT · Prolia · RAYOS · REBYOTA · Rybelsus · SOLIQUA · SOLIQUA 100/33 · STIOLTO RESPIMAT · SUCRAID · SYMBICORT · SYNJARDY · Synthroid · TOUJEO · TRELEGY ELLIPTA · TROKENDI XR · TRULICITY · TUDORZA PRESSAIR · Tresiba · Trintellix · Trulance · UBRELVY · UTIBRON NEOHALER · VIBERZI · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · XIFAXANIBSD · XYREM · Xofluza · Xultophy 100/3.6 · YUPELRI · Yupelri · ZONTIVITY · ZTLido · inCourage
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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Internal medicine physicians within 10 mi
109
Per 100K population
119.0
County median income
$55,796
Nearest hospital
UNC ROCKINGHAM
0.0 mi
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 clinical cardiology specialist, with above-average Medicare volume (top 5% in NC), with low-engagement industry engagement in the top 16% of NC peers, with 19 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 office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Shah performed 1,171 office visit, established patient (20-29 min) 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 $5,358 from 54 companies across 372 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 internal medicine physicians in Eden?
Dr. Shah's average Medicare payment per service is $44. 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 →
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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.
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