Dr. Nirish Shah, MD
3 Riverside Cir, Roanoke, VA 24016 • +1-857-555-4056
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Roanoke Percentiles
NPI #1932129566 • CBSA Regional • Gastroenterology
Dr. Nirish Shah, MD (NPI #1932129566) practices Gastroenterology in Roanoke, VA (24016) with sub-specialty concentration in 33 Active CMS HCPCS Codes, recording 1,109 annual CMS services across 520 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Roanoke percentile) (-0.40σ vs VA state mean, 45.41th statewide percentile).
Medicare Part B line-item claims for Dr. Nirish Shah (24016) place 99214 at the top of the practice ledger (410 yearly units, 66.67th metro rank), rounded out by 45380 and 43239.
Self-pay new patient consultations with Dr. Shah (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.54/5 modern protocol openness score across 9 patient logs.
Clinical background for Dr. Shah (MD, NPI #1932129566) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 3 Riverside Cir.
Compared against Roanoke, VA Gastroenterology peers
1,109 annual services across 520 beneficiaries
Standard deviations from VA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 410 | 66.67th | $196 – $269 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 277 | 62.67th | $473 – $648 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 233 | 63.67th | $392 – $538 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 111 | 68.67th | $526 – $721 |
| 99204 | New Patient Digestive & Hepatology Consultation | 78 | 65.67th | $277 – $379 |
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Dr. Nirish Shah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shah National Provider Identifier | NPI #1932129566 (MD) | CMS NPPES Registry (24016) |
| Dr. Shah Roanoke CMS Volume Rank | 66.67th Pct (1,109 CMS svcs; Z -0.396σ) | CMS Medicare Part B (VA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Roanoke, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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