Derek Shia, MD
NPI 1861600165 · Adult Reconstructive Orthopaedic Surgery Physician · Hamden, CT
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1861600165
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 50534 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,060 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 299 | $134 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 275 | $37 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 210 | $105 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 53 | $173 |
| Prosthetic Repair of Shoulder Joint, Total Shoulder23472 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 97 | 75 |
| Oxycodone Hcl | 88 | 82 |
| Meloxicam | 86 | 71 |
| Naproxen | 80 | 69 |
| Ondansetron Hcl | 78 | 75 |
| Methylprednisolone | 52 | 48 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Pot Er | 41 | 29 |
| Celecoxib |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$814 across 7 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 (2)
- 469 W Main StBranford, CT 06405-3400Phone: (203) 865-6784Fax: (203) 865-6788
- 30 Commerce ParkMilford, CT 06460-3551Phone: (203) 865-6784Fax: (203) 865-6788
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.