Swapnil Shah, MD
NPI 1427283878 · Sports Medicine (Orthopaedic Surgery) Physician · Pasadena, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Swapnil Shah, MD is a Sports Medicine (Orthopaedic Surgery) Physician provider in Pasadena, CA (NPI 1427283878).
Provider details
- NPI number
- 1427283878
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A96170 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,105 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 224 | $100 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 121 | $75 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 120 | $140 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 86 | $40 |
| X-Ray of Hip, 2-3 Views73502 | 70 | $49 |
| X-Ray of Knee, 1-2 Views73560 | 60 | $35 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 79 | 55 |
| Methylprednisolone | 15 | 14 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 12 | — |
| Meloxicam | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,744 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 19845 Lake Chabot Rd Ste 200Castro Valley, CA 94546-4055Phone: (510) 750-1967Fax: (844) 718-0067
Registry dates
- Enumerated
- 2009-05-28
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Swapnil Shah's NPI number?
- Swapnil Shah's National Provider Identifier (NPI) is 1427283878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Swapnil Shah's specialty?
- Swapnil Shah is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Swapnil Shah located?
- Swapnil Shah's practice location on file with NPPES is 2627 E Washington Blvd, Pasadena, CA 91107-1412.
- What is Swapnil Shah's phone number?
- The practice phone number listed in the NPPES registry for Swapnil Shah is (626) 797-2005.
- Does Swapnil Shah accept Medicare?
- Swapnil Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Swapnil Shah's NPI active?
- Yes — Swapnil Shah's NPI (1427283878) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.