Medicare Enrolled
Dr. Nirav Shah, MD, MPH
Gastroenterology · Wyomissing, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Consulting-driven
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 a gastroenterology specialist in Wyomissing, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Shah performed 757 Medicare services across 703 unique beneficiaries.
Between the years covered by Open Payments, Dr. Shah received a total of $47,087 from 39 pharmaceutical and/or device companies across 242 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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
▲ Top 26% volume in PA
$47,087 industry payments
Medicare Practice Summary
Medicare Utilization ↗757
Medicare services
Top 26% in PA for gastroenterology
703
Unique beneficiaries
$95
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~40 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. |
156 | $86 | $270 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
116 | $61 | $645 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
80 | $202 | $1,025 |
| 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. |
76 | $63 | $185 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
45 | $100 | $240 |
| 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. |
44 | $61 | $120 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
34 | $38 | $85 |
| Endoscopic ultrasound of esophagus, stomach, or upper small bowel An ultrasound exam of the esophagus, stomach, and/or upper small bowel performed using a flexible endoscope. |
32 | $162 | $575 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
30 | $95 | $875 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
24 | $164 | $750 |
| Endoscopic removal of esophagus, stomach, or small bowel polyps This procedure uses an endoscope and a mechanical snare to remove polyps or growths from the esophagus, stomach, or upper small bowel. |
21 | $106 | $475 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
17 | $56 | $350 |
| Ultrasound scan of organ tissue for measuring elasticity This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods. |
17 | $42 | $210 |
| Endoscopic ultrasound-guided needle biopsy A procedure using an ultrasound-equipped endoscope to guide a needle for tissue sampling of the esophagus, stomach, or upper small bowel. |
16 | $197 | $695 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
13 | $64 | $150 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
12 | $99 | $405 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
12 | $34 | $300 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
12 | $42 | $120 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$47,087
Total received (2018-2024)
Avg $6,727/year across 7 years
Top 8% in PA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
39
Companies
242
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
$32,484 (69.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$8,662 (18.4%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,941 (12.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$13,492
2023
$16,274
2022
$8,985
2021
$4,763
2020
$1,717
2019
$1,361
2018
$496
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$8,662
Olympus Medical Systems Corporation
$3,850
Janssen Biotech, Inc.
$201
ABBVIE INC.
$111
Phathom Pharmaceuticals, Inc.
$101
Ipsen Biopharmaceuticals, Inc
$88
Takeda Pharmaceuticals U.S.A., Inc.
$77
GENZYME CORPORATION
$71
Celgene Corporation
$67
Merck Sharp & Dohme LLC
$51
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$49
PFIZER INC.
$35
QOL Medical, LLC
$28
AIMMUNE THERAPEUTICS, INC.
$26
Lilly USA, LLC
$22
Madrigal Pharmaceuticals
$20
Daiichi Sankyo Inc.
$16
Regeneron Healthcare Solutions, Inc.
$16
Top 3 companies account for 94.2% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic, Inc.
$20,345
GENZYME CORPORATION
$12,217
Olympus Medical Systems Corporation
$3,850
Regeneron Healthcare Solutions, Inc.
$2,706
AstraZeneca Pharmaceuticals LP
$2,148
Takeda Pharmaceuticals U.S.A., Inc.
$1,778
Olympus Corporation of the Americas
$631
Janssen Biotech, Inc.
$479
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$357
Celgene Corporation
$314
ABBVIE INC.
$248
Gilead Sciences, Inc.
$214
AbbVie, Inc.
$212
AbbVie Inc.
$189
BOSTON SCIENTIFIC CORPORATION
$155
PFIZER INC.
$140
Boston Scientific Corporation
$122
Merck Sharp & Dohme LLC
$117
INTERCEPT PHARMACEUTICALS, INC.
$102
Phathom Pharmaceuticals, Inc.
$101
Ipsen Biopharmaceuticals, Inc
$88
QOL Medical, LLC
$72
Endo Pharmaceuticals Inc.
$53
RedHill Biopharma Inc.
$47
NESTLE HEALTHCARE NUTRITION INC.
$42
Lilly USA, LLC
$35
Daiichi Sankyo Inc.
$35
Braintree Laboratories, Inc.
$35
Shionogi Inc
$33
UCB, Inc.
$29
AIMMUNE THERAPEUTICS, INC.
$26
Fresenius Kabi USA, LLC
$25
Intercept Pharmaceuticals, Inc.
$25
Micro-tech Endoscopy USA, Inc.
$23
Ardelyx, Inc.
$23
Madrigal Pharmaceuticals
$20
Ironwood Pharmaceuticals, Inc
$20
Ferring Pharmaceuticals Inc.
$18
Prometheus Laboratories Inc.
$13
Top 3 companies account for 77.3% of all-time payments
Associated products mentioned in payments ›
Amitiza · Bylvay · CAPTIVATOR COLD · CREON · Cimzia · DIFICID · DUPIXENT · Dexilant · ENTYVIO · EXALT · EXALT MODEL D CONTROLLER · EXALT Model D · Entyvio · Epclusa · FASENRA · GENERAL BILIARY DEVICES · GI GENIUS · HUMIRA · Humira · IBSRELA · IDACIO · INJECTAFER · IQIRVO · LINZESS · LesionHunter · Linzess · MAVYRET · Mavyret · Mulpleta · NASCOBAL · OCALIVA · OMVOH · Olympus EMR & ESD Devices · REBYOTA · REMICADE · RESMETIROM · RINVOQ · SKYRIZI · STELARA · SUCRAID · SUTAB · Sucraid · TREMFYA · TRULANCE · TRULICITY · Talicia · UCERIS · VIBERZI · VOQUEZNA · XELJANZ · XIFAXAN · ZENPEP · ZEPOSIA
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 (69%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 8% for gastroenterology in PA.
Geographic Context
Gastroenterologists within 10 mi
39
Per 100K population
9.1
County median income
$77,684
Nearest hospital
SURGICAL INSTITUTE OF READING
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 26% in PA), with consulting-driven industry engagement in the top 8% of PA 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 156 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 $47,087 from 39 companies across 242 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 gastroenterologists in Wyomissing?
Dr. Shah's average Medicare payment per service is $95. 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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