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Dr. Peyman Shirani, MD

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Specializes in: Neurology (Brain & Spinal Cord Disease)

Isfahan Medical School (2001)

Professional interests include: myasthenia gravis, stroke, ischemic stroke, and more.

1229 E Seminole Street
Springfield, MO 65804

(417) 820-5150

Dr. Peyman Shirani, MD is a neurologist in Buffalo, NY specializing in neurology (brain & spinal cord disease). He graduated from Isfahan Medical School in 2001 and has 24 years of experience. Dr. Peyman Shirani, MD is affiliated with UC Health and UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC.

Office Locations

100 High Street
Buffalo, NY 14203

(716) 859-5600

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1229 E Seminole Street
Springfield, MO 65804

(417) 820-5150

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UC Health

3113 Bellevue Avenue Suite 4100
Cincinnati, OH 45219

(513) 475-8990

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7675 Wellness Way
West Chester, OH 45069

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Some issues Dr. Peyman Shirani, MD can help you with:

Hemorrhagic Stroke

Hemorrhagic stroke occurs when a blood vessel in or around the brain suddenly ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage. Hemorrhagic strokes are less common than ischemic strokes, and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Hemorrhagic strokes are particularly dangerous, as they may go undetected. For example, someone who forcefully hits his head may simply ice his wound and not seek medical treatment, unaware that blood is leaking into his brain from a ruptured vessel. When blood leaks into the brain, the blood gathers and begins to compress the brain tissue. At the same time, the damaged vessel does not deliver blood as it normally does. Since the brain cannot function without a steady supply of blood oxygen and nutrients, the brain begins to die and may cease functioning. Hemorrhagic strokes can result in impaired movement, speech, cognitive ability, and physical functioning and may even cause death.

Certain risk factors may increase one's likelihood for developing a hemorrhagic stroke:

High blood pressure
Bleeding disorders (such as hemophilia)
Blood vessel abnormalities
Brain tumor
Liver disease
Drug abuse

There are two types of hemorrhagic stroke: intracranial hemorrhage stroke and subarachnoid hemorrhage stroke. Intracranial hemorrhages cause bleeding inside of the brain, while subarachnoid hemorrhages happen when bleeding occurs in the region between the brain membrane and the brain. Both types of hemorrhagic strokes require immediate medical treatment, which can prevent severe and life-threatening brain damage. Signs of hemorrhagic stroke include:

Fever
Disorientation or confusion
Difficulty speaking
Difficulty walking
Impaired vision
Weakness in the face, legs, or arms
Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment generally begins immediately if a stroke is detected.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by an aneurysm (blood vessel bulges) rupture, surgery might be performed to stem the bleeding. Another treatment is endovascular coiling, where a catheter (thin, hollow needle) is used to place a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. A similar technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Hemorrhagic stroke patients who may have lost some essential functions while the blood flow to their brains was obstructed may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from a neurologist, who can develop individual treatment plans, and rehabilitation psychologists who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, rehabilitation from hemorrhagic stroke can last for years.

If someone begins to show signs of hemorrhagic stroke, contact emergency services and call 9-1-1 immediately, since blood flow must be restored as soon as possible to avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate hemorrhagic stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Ischemic Stroke

Ischemic stroke is the more common form of stroke and occurs when a blood vessel in the brain becomes blocked. Ischemic strokes are caused by blood clots or by built-up plaque (deposits of fat and cholesterol) in the arteries and are dangerous medical events that require immediate treatment.

Ischemic strokes are severe because it restricts blood flow and an inadequate blood supply damages the brain, which cannot function without a steady supply of oxygen and nutrients. Ischemic strokes may alter appearance by leaving one side of the face paralyzed, also affecting speech and communication. Additionally, ischemic strokes can result in impaired movement, cognitive ability, and can impede important physical functions like walking.

The main cause of ischemic stroke is from plaque (deposits of fat and cholesterol) accumulating in blood vessels. Plaque causes atherosclerosis, a condition where the blood vessels narrow and harden with cholesterol, fat, and calcium, causing damage to the endothelium (inner layer of cells in the arteries), which in turn restricts blood flow. At some point, a large blockage of plaque or bits of broken up plaque may result in an ischemic stroke.

People who are older are more likely to have ischemic strokes due to accumulated plaque. Additionally, certain repeated behaviors are associated with an increased risk of ischemic stroke. These behaviors include:

Smoking
High fat diet
Lack of exercise
High salt diet
Alcohol abuse

Conditions such as heart disease, diabetes, high blood pressure, and high levels of cholesterol and lipids are also known to be correlated with ischemic strokes. If possible, people are advised to avoid modifiable risk factors (factors one can change themselves) such as smoking and lack of exercise by keeping an active lifestyle and a healthy diet.

Signs of stroke include:

Disorientation or confusion
Difficulty speaking
Difficulty walking
Impaired vision
Weakness in the face, legs, or arms
Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Hospital treatment generally begins immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed using a catheter (thin needle) to the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Ischemic stroke patients who have lost some essential functions while the blood flow to their brain was obstructed may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, ischemic stroke rehabilitation can last for years.

If someone begins to show signs of ischemic stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate ischemic stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Noteworthy Medicare Patient Procedures Performed by Dr. Peyman Shirani, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2023, Dr. Peyman Shirani, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within New York. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2013 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

hospital care	15
inpatient care	15

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	12
Female	17

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2013

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2013 were high cholesterol, hypertension, stroke and heart failure.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	55
Depression	0
Chronic Kidney Disease	45
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	55
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2014 were hospital care, inpatient care and emergency care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	41
emergency care	28
hospital care	236
inpatient care	236

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	101
Female	112

**Ethnicity**
Non-Hispanic White	159
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	56
From 75 to 84	54
85 and over	58
Less than 65	45

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2014

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2014 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	66
Depression	32
Chronic Kidney Disease	43
Asthma	9
Osteoperosis	8
Atrial Fibrilation	39
Heart Failure	52
Chronic Obstructive Pulmonary Disease	31
Diabetes	46
Dementia	26
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2015 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	13
hospital care	155
inpatient care	155

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	150
Female	154

**Ethnicity**
Non-Hispanic White	214
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	92
From 75 to 84	98
85 and over	50
Less than 65	64

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2015

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2015 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	63
Depression	37
Chronic Kidney Disease	56
Asthma	24
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	46
Chronic Obstructive Pulmonary Disease	32
Diabetes	49
Dementia	25
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

hospital care	80
inpatient care	80

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	26
Female	27

**Ethnicity**
Non-Hispanic White	28
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	19
From 75 to 84	16
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2016

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2016 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	74
Depression	60
Chronic Kidney Disease	68
Asthma	42
Osteoperosis	0
Atrial Fibrilation	25
Heart Failure	47
Chronic Obstructive Pulmonary Disease	32
Diabetes	57
Dementia	47
Cancer	21

Medicare Procedure and Patient Information

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Age**
From 65 to 74	11
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2017

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2017 were hypertension, stroke, high cholesterol and ischemic heart disease.

Hypertension	75
High Cholesterol	72
Stroke	75
Ischemic Heart Disease	68
Depression	0
Chronic Kidney Disease	52
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	44
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2018 were vascular procedures, hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	25
hospital care	19
inpatient care	19
vascular procedures	27

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	61
Female	62

**Ethnicity**
Non-Hispanic White	103
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	29
85 and over	12
Less than 65	25

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2018

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2018 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	56
Depression	41
Chronic Kidney Disease	48
Asthma	0
Osteoperosis	10
Atrial Fibrilation	30
Heart Failure	34
Chronic Obstructive Pulmonary Disease	25
Diabetes	37
Dementia	25
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2019 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	53
hospital care	166
inpatient care	166
vascular procedures	12

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	75
Female	79

**Ethnicity**
Non-Hispanic White	123
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	61
From 75 to 84	42
85 and over	24
Less than 65	27

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2019

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2019 were hypertension, stroke, high cholesterol and ischemic heart disease.

Hypertension	75
High Cholesterol	74
Stroke	75
Ischemic Heart Disease	60
Depression	40
Chronic Kidney Disease	49
Asthma	0
Osteoperosis	7
Atrial Fibrilation	30
Heart Failure	35
Chronic Obstructive Pulmonary Disease	20
Diabetes	40
Dementia	27
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2020 were hospital care, inpatient care and vascular procedures.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	40
hospital care	142
inpatient care	142
vascular procedures	41

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	73
Female	78

**Ethnicity**
Non-Hispanic White	121
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	71
From 75 to 84	28
85 and over	26
Less than 65	26

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2020

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2020 were high cholesterol, hypertension, stroke and ischemic heart disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	59
Depression	42
Chronic Kidney Disease	58
Asthma	7
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	41
Chronic Obstructive Pulmonary Disease	22
Diabetes	47
Dementia	26
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	77
hospital care	30
inpatient care	30

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	80
Female	61

**Ethnicity**
Non-Hispanic White	117
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	36
85 and over	25
Less than 65	20

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2021

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2021 were high cholesterol, hypertension, stroke and chronic kidney disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	50
Depression	36
Chronic Kidney Disease	53
Asthma	8
Osteoperosis	9
Atrial Fibrilation	31
Heart Failure	39
Chronic Obstructive Pulmonary Disease	17
Diabetes	40
Dementia	26
Cancer	17

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	68
hospital care	30
inpatient care	30

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	54
Female	56

**Ethnicity**
Non-Hispanic White	94
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	28
85 and over	13
Less than 65	17

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2022

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2022 were high cholesterol, hypertension, stroke and depression.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	39
Depression	47
Chronic Kidney Disease	25
Asthma	0
Osteoperosis	17
Atrial Fibrilation	35
Heart Failure	25
Chronic Obstructive Pulmonary Disease	24
Diabetes	37
Dementia	12
Cancer	18

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

doctor visit	109
hospital care	24
inpatient care	24

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	64
Female	50

**Ethnicity**
Non-Hispanic White	93
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	46
From 75 to 84	43
85 and over	12
Less than 65	13

Conditions of Medicare patients treated by Dr. Peyman Shirani, MD in 2023

The most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated during 2023 were high cholesterol, hypertension, stroke and chronic kidney disease.

Hypertension	75
High Cholesterol	75
Stroke	75
Ischemic Heart Disease	45
Depression	40
Chronic Kidney Disease	46
Asthma	12
Osteoperosis	17
Atrial Fibrilation	40
Heart Failure	33
Chronic Obstructive Pulmonary Disease	21
Diabetes	39
Dementia	23
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2013 - 2023

Volume of procedures performed by Dr. Peyman Shirani, MD for Medicare patients.

The highest averages for the top procedures that Dr. Peyman Shirani, MD treated as a neurologist in Buffalo, NY were hospital care, inpatient care, emergency care and vascular procedures.

doctor visit	53
emergency care	28
hospital care	89
inpatient care	89
vascular procedures	26

Average Medicare Patient Data From 2013 - 2023

Information about Medicare patients treated by Dr. Peyman Shirani, MD.

**Gender**
Male	63
Female	63

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	95
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	34
85 and over	20
Less than 65	21
65 to 74	47

Average of Total of Conditions of Medicare patients treated by Dr. Peyman Shirani, MD From 2013 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Peyman Shirani, MD treated were hypertension, stroke, high cholesterol and ischemic heart disease.

Hypertension	75
High Cholesterol	74
Stroke	75
Ischemic Heart Disease	57
Depression	34
Chronic Kidney Disease	49
Asthma	9
Osteoporosis	8
Heart Failure	41
Chronic Obstructive Pulmonary Disease	20
Diabetes	35
Atrial Fibrillation	26
Cancer	10
Dementia	21

Education & Training

Dr. Peyman Shirani, MD graduated from Isfahan Medical School in 2001. He completed residency at Baylor College of Medicine Affiliated Hospitals. He is certified by the American Board of Psychiatry and Neurology (Vascular Neurology) 014 and has a state license in Missouri.

Medical School: Isfahan Medical School (2001)

Residency: Baylor College of Medicine Affiliated Hospitals (2012)

Board Certification: American Board of Psychiatry and Neurology (Vascular Neurology) 014 (2008)

Licensed In: Missouri

Affiliations & Hospitals

Dr. Peyman Shirani, MD is associated with these hospitals and organizations:

UC Health

UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC

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General Payments

These charts describe general payments received by Dr. Peyman Shirani, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
MicroVention, Inc.	$3,033 Scepter XC Balloon Catheter $1,389	LVIS $1,175	ERIC RETRIEVAL DEVICE $150	LVIS Jr. $112	WEB $84	Other $122
Stryker Corporation	$2,842 Trevo $1,728	FlowGate $574	Target $272	CATALYST $247	TransForm $21
Penumbra, Inc.	$1,900 Penumbra System $1,754	RED 72 $146
Medical Device Business Services, Inc.	$1,702 TRUFILL $1,702
Medtronic, Inc.	$1,607 RIST $1,150	SOLITAIRE X $146	PIPELINE $110	$201
Other	$1,846 Solitaire $345	PIPELINE $215	XARELTO $160	ZOOM 88-T LARGE DISTAL PLATFORM $156	CEREPAK UNIFORM $138	Other $832

**Types of Payments**
Travel and Lodging	$8,899
Food and Beverage	$3,937
Education	$75
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$20

Biography

Dr. Peyman Shirani's specialty is neurology (brain & spinal cord disease). Before completing his residency at a hospital affiliated with Baylor College of Medicine, Dr. Shirani attended medical school at Isfahan Medical School. Areas of expertise for Dr. Shirani include transient ischemic attack (TIA), hemorrhagic stroke, and neurosurgery. He is affiliated with UC Health.