PRERAK SHAH MD
NPI 1407848039
Otolaryngology in N Andover, MA

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: July 26, 2026.

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
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

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

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

Hospital Affiliations CMS Care Compare 4

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

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
Quality52.89
Improvement Activities40

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.

Audiologist
198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845
Otolaryngology
198 MASSACHUSETTS AVE, #103
N ANDOVER, MA 01845
Otolaryngology
198 MASSACHUSETTS AVE, STE 103
N ANDOVER, MA 01845
Physician Assistant
198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845
Dermatology (Procedural Dermatology)
198 MASSACHUSETTS AVE, STE 105
N ANDOVER, MA 01845
Otolaryngology
198 MASSACHUSETTS AVE, STE 103
N ANDOVER, MA 01845
Specialist
198 MASSACHUSETTS AVE, SUITE 102
NORTH ANDOVER, MA 01845
Physical Therapist
198 MASSACHUSETTS AVE
NORTH ANDOVER, MA 01845

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, Massachusetts Eye And Ear Infirmary - 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 with the weekly NPPES data releases published by CMS.