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GOPAL SHAH M.D.
NPI 1023025798
Internal Medicine in Port Jervis, NY

Active since August 02, 2006PECOS Enrolled
98.07/100
CMS Quality Rating
33 DELAWARE ST, PORT JERVIS, NY 12771(845) 856-5765(845) 856-2535 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gopal Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOPAL SHAH M.D. (NPI 1023025798) is an individual internal medicine provider in Port Jervis, New York, licensed in New York (158750) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023025798
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGOPAL SHAHCredential: M.D.
Location Address33 DELAWARE STPort Jervis, NY 12771-1805
Mailing Address20 Grand Street, 3rd FlWarwick, NY 10990-1035 · (845) 856-5765 · Fax (845) 898-7597
Phone(845) 856-5765
Fax(845) 856-2535
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateDecember 18, 2019
✔ NPI 1023025798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 158750
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
33 DELAWARE ST, Port Jervis, NY 12771
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Other Names 1

Former Name (1)Gopal V Shah M.d.

Other Identifiers 11

Other14162NY · Ghi Hmo
Medicaid01009067NY
Other117350NY · Mvp Hmo
Other33936NY · Aetna Health Care
Other632227NY · United Health
OtherP480818NY · Oxford Health Plan
Medicaid1573920PA
Other141692539NY · Cigna Healthcare
Other141692539NY · Empire Plan
Other72D011NY · Blue Choice Hmo
Other010158750NY01NY · Anthem Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gopal Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
223 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.62
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%192 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
28%54 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%396 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
71%381 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
53%172 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers57 claims159 services$6.56 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers20 claims20 services$2.80 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers11 claims11 services$1.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers35 claims55 services$1.16 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$13.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gopal Shah's NPI number?

The NPI number for Gopal Shah is 1023025798. It was assigned to this individual provider in the NPPES registry on August 2, 2006. The provider is also known as Gopal V Shah M.D..

Where is Gopal Shah located?

Gopal Shah practices at 33 Delaware St, Port Jervis, NY 12771. The listed phone number is (845) 856-5765.

What is Gopal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gopal Shah enrolled in Medicare?

Yes. Gopal Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gopal Shah was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.