DR. WESLEY SHIH M.D.
NPI 1013939420
Internal Medicine in Encinitas, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.26/100
CMS Quality Rating
354 SANTA FE DR, ENCINITAS, CA 92024(760) 230-2251(760) 230-2253 Get Directions Write a Review

NPPES record last updated: February 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wesley Shih M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WESLEY SHIH M.D. (NPI 1013939420) is an individual internal medicine provider in Encinitas, California, licensed in California (A89598) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2003).

NPPES Registry Identity

NPI1013939420
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WESLEY SHIHCredential: M.D.
Location Address354 SANTA FE DREncinitas, CA 92024-5142
Mailing AddressPo Box 231189Encinitas, CA 92023-1189 · (760) 230-2251 · Fax (760) 230-2253
Fax(760) 230-2253
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2003
Enumeration DateJuly 24, 2006
Last NPPES UpdateFebruary 10, 2011
NPI 1013939420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A89598
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
354 SANTA FE DR, Encinitas, CA 92024

Other Identifiers 2

Medicaid00A895980CA
Medicare PINWA89598A

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

Dr. Wesley Shih M.d. 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 ID5193828671
PECOS Enrollment IDI20070321000718
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
611 services250 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
286 services278 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
61 services61 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

89.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost97.55

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$14.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers37 claims37 services$62.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Joyce ***** April 14, 2024

5/5
No objective word for Dr Westley Shih. Admitted April 8-11/24 in Scripps Encinitas Hospital. Had Lumbar surgery 2/20/24 at Scripps TP from surgery, High BP, deep lung cough. Admit to: Dr Shih daily to see me, discuss a plan,tests,daily. Nurses informed. Dr called my son daily informing. Years since I have had a Doctor sit & explain in detail until discharge. Dr Shih deserves the highest ratings.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

Occupational Therapist
354 SANTA FE DR
ENCINITAS, CA 92024
Student in an Organized Health Care Education/Training Program
354 SANTA FE DR
ENCINITAS, CA 92024
Obstetrics & Gynecology
354 SANTA FE DR
ENCINITAS, CA 92024
Internal Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
Emergency Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
Emergency Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
Physician Assistant (Medical)
354 SANTA FE DR
ENCINITAS, CA 92024
Advanced Practice Midwife
354 SANTA FE DR
ENCINITAS, CA 92024

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 Wesley Shih's NPI number?

The NPI number for Wesley Shih is 1013939420. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Wesley Shih located?

Wesley Shih practices at 354 Santa Fe Dr, Encinitas, CA 92024. The listed phone number is (760) 230-2251.

What is Wesley Shih's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wesley Shih enrolled in Medicare?

Yes. Wesley Shih 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.

When was this NPI record last updated?

The NPPES record for Wesley Shih was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.