Medicare Enrolled

Dr. Roshan Shah, MD

Adult Reconstructive Orthopaedic Surgery Physician · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
161 FORT WASHINGTON AVE, New York, NY 10032
2123054626
In practice since 2007 (19 years)
NPI: 1245438928 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. Roshan Shah is an adult reconstructive orthopaedic surgery physician in New York, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 1,390 Medicare services across 1,225 unique beneficiaries.

Between the years covered by Open Payments, Dr. Shah received a total of $472,730 from 15 pharmaceutical and/or device companies across 250 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in adult reconstructive orthopaedic surgery physician. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. 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 ▲ 1,390 Medicare services $472,730 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,390
Medicare services
Bottom 49% in NY for adult reconstructive orthopaedic surgery physician
1,225
Unique beneficiaries
$292
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~73 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 (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.
477 $109 $650
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.
303 $141 $700
Computer-assisted surgery for muscle and bone procedure
A surgical procedure involving muscles or bones that utilizes computer technology to assist with planning or execution.
145 $139 $1,540
Total knee replacement 101 $1,239 $14,279
Total hip replacement
Surgical procedure to replace the thigh bone and hip joint with artificial components.
75 $1,250 $14,896
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
64 $71 $722
Hyaluronan gel injection for joint
An injection of hyaluronan gel into a joint to supplement joint fluid. This procedure is administered as a single dose.
61 $406 $2,000
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.
43 $80 $380
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
36 $81 $370
New patient office visit, complex (60-74 min) 26 $200 $870
Knee joint replacement
Surgical procedure to replace a knee joint with an artificial implant.
24 $1,099 $12,030
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
24 $157 $740
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
11 $117 $520
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.
24.8% high complexity
9.0% medium
66.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$472,730
Total received (2018-2024)
Avg $67,533/year across 7 years
Top 6% in NY for adult reconstructive orthopaedic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
15
Companies
250
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$450,614 (95.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$16,538 (3.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,578 (1.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$232,506
2023
$85,842
2022
$49,479
2021
$25,954
2020
$13,822
2019
$40,295
2018
$24,831

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Zimmer Biomet Holdings, Inc.
$214,388
LinkBio Corp
$9,710
Ethicon US, LLC
$7,501
Medical Device Business Services, Inc.
$454
Smith+Nephew, Inc.
$249
Stryker Corporation
$182
Davol Inc.
$22
Top 3 companies account for 99.6% of 2024 payments
All-time payments by company (2018-2024) ›
Zimmer Biomet Holdings, Inc.
$310,397
LinkBio Corp
$109,429
Ethicon US, LLC
$19,658
Medical Device Business Services, Inc.
$14,118
KCI USA, Inc
$7,659
DePuy Synthes Products, Inc.
$7,258
Ethicon Inc.
$1,650
Stryker Corporation
$996
Smith+Nephew, Inc.
$522
DePuy Synthes Sales Inc.
$483
MicroPort Orthopedics Inc
$247
Horizon Therapeutics plc
$142
Smith & Nephew, Inc.
$98
Flexion Therapeutics, Inc.
$50
Davol Inc.
$22
Top 3 companies account for 93.0% of all-time payments
Associated products mentioned in payments ›
ACCOLADE · ACTIS · ATTUNE · Arcos · Avenir · Channel Drain · Connected Health Product Portfolio · DERMABOND · G7 · HIP7 · LCCK NexGen · Legion · MAKO · MONOCRYL · MPO Medial Pivot Knee · Navio Surgical System · PINNACLE · PREVENA · Persona · Persona Revision · REAL INTELLIGENCE · REDAPT · ROSA · ROSA-Knee · STRATAFIX · Synovasure Alpha Defensin · TRIATHLON · Zilretta · mymobility Platform
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 (95%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 6% for adult reconstructive orthopaedic surgery physician in NY.

Looking for an adult reconstructive orthopaedic surgery physician in New York?
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Geographic Context

Adult reconstructive orthopaedic surgery physicians within 10 mi
75
Per 100K population
4.6
County median income
$104,553
Nearest hospital
NEW YORK STATE PSYCHIATRIC INSTITUTE
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 moderate Medicare volume, with consulting-driven industry engagement in the top 6% of NY 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 (30-39 min)?
Based on Medicare claims data, Dr. Shah performed 477 office visit, established patient (30-39 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 $472,730 from 15 companies across 250 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 adult reconstructive orthopaedic surgery physicians in New York?
Dr. Shah's average Medicare payment per service is $292. 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 →