Dr. Nirav Shah, MD
1610 Dry Creek DR, Longmont, CO 80503 • +1-438-555-4821
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Longmont Percentiles
NPI #1629289509 • CBSA Regional • Orthopedic Surgery
Within the Longmont, CO (CBSA local) Orthopedic Surgery cohort, Dr. Nirav Shah, MD with sub-specialty concentration in 57 Active CMS HCPCS Codes ranks at the 63.64th municipal percentile and 87.67th CO percentile (+0.61σ Z-score) based on 5,886 billed procedures for 441 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Shah (averaging 13.3 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 11% of tracked volume (639 encounters), paired with 20610 (480x).
Uninsured and high-deductible cash patients visiting Dr. Nirav Shah in Longmont (80503) face an estimated $211.00 initial evaluation fee at 1610 Dry Creek DR (hybrid in-clinic and telehealth video consults; 10-minute average reception wait; bedside manner 4.86/5 from 16 verified reports).
From 1610 Dry Creek DR in Longmont (+1-438-555-4821), Dr. Shah, MD (30-year clinical track record) delivers 57 Active CMS HCPCS Codes care.
Compared against Longmont, CO Orthopedic Surgery peers
5,886 annual services across 441 beneficiaries
Standard deviations from CO Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 639 | 63.64th | $56 – $77 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 480 | 66.64th | $60 – $82 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 337 | 67.64th | $34 – $49 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 195 | 64.64th | $81 – $111 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 124 | 66.64th | $522 – $715 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) | 4,110 | 63.64th | $64 – $93 |
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Dr. Nirav Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1629289509 (MD) | CMS NPPES Registry (80503) |
| Dr. Shah Longmont CMS Volume Rank | 63.64th Pct (5,886 CMS svcs; Z +0.608σ) | CMS Medicare Part B (CO Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $211.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Longmont, CO) |
| Waiting-Room Wait Time & Cash Friendliness | $211.00 avg paid • 10 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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