PRERAK SHAH MD
NPI 1407848039
Otolaryngology in N Andover, MA

Q: What is Prerak Shah's NPI number?

The NPI number for Prerak Shah is 1407848039. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is Prerak Shah's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Prerak Shah was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment

77.59/100

CMS Quality Rating

198 MASSACHUSETTS AVE, #103, N ANDOVER, MA 01845(978) 685-7550(978) 686-5565 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Prerak Shah Md NPPES

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

PRERAK SHAH MD (NPI 1407848039) is an individual otolaryngology provider in N Andover, Massachusetts, licensed in Massachusetts (216505) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of University Of Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1407848039

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NamePRERAK SHAHCredential: MD

Location Address198 MASSACHUSETTS AVE, #103N Andover, MA 01845-4143

Mailing Address198 Massachusetts Ave, #103N Andover, MA 01845-4143 · (978) 685-7550 · Fax (978) 686-5565

Phone(978) 685-7550

Fax(978) 686-5565

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1996

Enumeration DateAugust 19, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1407848039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MA · 216505

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

198 MASSACHUSETTS AVE, N Andover, MA 01845

Open in Google Maps ↗

Other Identifiers 16

Other7 7 03One Health

Other973183Network Health

Other0030238Nhp

Other11882Nh License

Other191157H Pil

Other59857Fallon

Other9495329 001Cigna Pal

Other216505Ma License

Other01Y004790MA01Nh Bs

Other43239435Hcvm

OtherJ26201Bs Ma

Other9495329Cigna

OtherA35450Mc

Other3212109Aetna Ushc

Other48844Childrens Msp

OtherJ26201Bs Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prerak Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537223714

PECOS Enrollment IDI20110131000189, I20230216002086

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 17

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.

393 services335 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

308 services98 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

219 services72 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.

217 services151 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

143 services114 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

140 services140 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

134 services115 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

108 services94 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

63 services35 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

33 services33 patients

Therapy procedure for walking training, each 15 minutes 97116

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

31 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

25 services24 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

23 services22 patients

Test for balance and posture 92548

A balance and posture test assesses your ability to maintain steady positioning and coordination. It involves simple tasks like standing on one foot or walking in a straight line. This helps identify any issues with your balance system, which can affect daily activities.

21 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services16 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220010

LocationOne General StreetLawrence, MA 01842 · Essex County

Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220029

Location25 Highland AvenueNewburyport, MA 01950 · Essex County

Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220080

Location70 East StreetMethuen, MA 01844 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01845 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

Most-billed visit code 99213

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.

77.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

52.89

Improvement Activities

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

96%70 patients

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)

Lower rates are better for this measure.

25%81 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

13%568 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

0%266 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%4,143 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,014 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%2,520 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,490 patients

0%1,490 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

69%199 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,026 patients

Patients totalRate: 0% · 1,026 patients

0%1,026 patients5/55-star benchmark: 100%

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MELISSA HOULIHAN AU.D

Audiologist

198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845

Essex County (978) 685-7550

ROBERT P CIPRO MD

Otolaryngology

198 MASSACHUSETTS AVE, #103
N ANDOVER, MA 01845

Essex County (978) 685-7550

WILLIAM S POSTAL MD

Otolaryngology

198 MASSACHUSETTS AVE, STE 103
N ANDOVER, MA 01845

Essex County (978) 685-7550

HALEY ANNE CALLAHAN

Physician Assistant

198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845

Essex County (978) 691-5690

NORTH ANDOVER DERMATOLOGY INC

Dermatology (Procedural Dermatology)

198 MASSACHUSETTS AVE, STE 105
N ANDOVER, MA 01845

Essex County (978) 687-3335

YOOKYUNG K SELIG MD

Otolaryngology

198 MASSACHUSETTS AVE, STE 103
N ANDOVER, MA 01845

Essex County (978) 685-7550

WILLIAM A COOK MD PC

Specialist

198 MASSACHUSETTS AVE, SUITE 102
NORTH ANDOVER, MA 01845

Essex County (978) 686-1311

LAURA GERBERG

Physical Therapist

198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845

Essex County (978) 269-5194

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 Prerak Shah's NPI number?

The NPI number for Prerak Shah is 1407848039. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Prerak Shah located?

Prerak Shah practices at 198 Massachusetts Ave #103, N Andover, MA 01845. The listed phone number is (978) 685-7550.

What is Prerak Shah's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Prerak Shah enrolled in Medicare?

Yes. Prerak Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prerak Shah accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Prerak Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prerak Shah affiliated with any hospitals?

According to CMS data, Prerak Shah is affiliated with Lawrence General Hospital, Anna Jaques Hospital and Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Prerak Shah was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.