Sumit P. Shah, M.D.
NPI 1346439213ActiveIndividual· Ophthalmology, Retina Specialist· New Brunswick, NJ
Ophthalmology, Retina Specialist (M.D.) in New Brunswick, New Jersey, trained at Rutgers New Jersey Medical School (class of 2005). In 2024 Medicare paid $4,194,811 for 842 patients, and Part D covered 620 of their prescriptions, 56% of them generic. Regeneron Healthcare Solutions, Inc. was the largest of 4 companies reporting payments in 2025, $8,033 in all, mostly speaking and faculty fees.
Overview
| NPI | 1346439213 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2007 |
| Last updated in NPPES | Oct 5, 2026 |
| Certified by provider | Oct 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | 25MA09260500 | NJ |
| Ophthalmology | 207W00000X | 25MA09260500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 842 |
|---|---|
| Services billed | 32,694 across 45 procedure codes |
| Paid by Medicare | $4,194,811 |
Part D prescriptions in 2024
| Prescriptions (claims) | 620 · 985 30-day fills |
|---|---|
| Patients | 147 |
| Total drug cost | $56,801 |
| Generic share | 56% of claims |
Education and affiliations
| Medical school | Rutgers New Jersey Medical School |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Ophthalmology |
Medical group
- Associated Retinal Consultants LLCFreehold, NJ · 117 clinicians
Hospital affiliation
- Robert Wood Johnson University HospitalNew Brunswick, NJ
Industry payments (Open Payments)
- 2025$8,033 · 11 payments from 4 companies
- 2024$25,543 · 23 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Regeneron Healthcare Solutions, Inc. | $7,925 | 6 |
| Abbvie Inc. | $70.55 | 3 |
| Apellis Pharmaceuticals, Inc. | $19.81 | 1 |
| Ani Pharmaceuticals, Inc. | $17.96 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$7,894 · 4 payments
- Food and Beverage$139.26 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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