TIMOTHY JOHN SHEA MD
NPI 1033160346
Family Medicine in Brevard, NC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1409 ASHEVILLE HWY, BREVARD, NC 28712(828) 435-8400(828) 435-8401 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2022, Mar 30, 2021, Feb 26, 2021 and 1 more (4 updates tracked since 2016).

About Timothy John Shea Md NPPES

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

TIMOTHY JOHN SHEA MD (NPI 1033160346) is an individual family medicine provider in Brevard, North Carolina, licensed in North Carolina (9800693) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Margaret R Pardee Memorial Hospital, and maintains a secondary practice location in Brevard.

NPPES Registry Identity

NPI1033160346
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY JOHN SHEACredential: MD
Location Address1409 ASHEVILLE HWYBrevard, NC 28712-9524
Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 213-1500 · Fax (828) 651-6570
Fax(828) 435-8401
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1995
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 7, 20224 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1033160346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9800693
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1409 ASHEVILLE HWY, Brevard, NC 28712

Secondary Practice Location 1

Location 1187 Medical Park DrBrevard, NC 28712-4189 · Phone (828) 884-9362 · Fax (828) 884-3851

Other Identifiers 5

OtherNC6503CNC · Medicare Ptan
OtherNC6503BNC · Medicare Ptan
Other2254955BNC · Medicare Ptan
OtherNC6503DNC · Medicare Ptan
OtherNC6503ANC · Medicare Ptan

Accepted Insurance

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

Timothy John Shea Md 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 ID1557445335
PECOS Enrollment IDI20080304000120
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Transylvania Regional Hospital, Inc

Critical Access Hospitals · Brevard, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341319
Location90 Hospital Drive PO Box 1116Brevard, NC 28712 · Transylvania County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28712 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers52 claims148 services$6.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims40 services$20.18 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$7.79 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
3 suppliers41 claims43 services$111.62 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers28 claims28 services$190.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1409 ASHEVILLE HWY
BREVARD, NC 28712
Surgery
1409 ASHEVILLE HWY
BREVARD, NC 28712
Social Worker (Clinical)
1409 ASHEVILLE HWY
BREVARD, NC 28712
Family Medicine
1409 ASHEVILLE HWY
BREVARD, NC 28712
Family Medicine
1409 ASHEVILLE HWY
BREVARD, NC 28712
Family Medicine
1409 ASHEVILLE HWY
BREVARD, NC 28712
Nurse Practitioner (Family)
1409 ASHEVILLE HWY
BREVARD, NC 28712
Family Medicine
1409 ASHEVILLE HWY
BREVARD, NC 28712

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 Timothy Shea's NPI number?

The NPI number for Timothy Shea is 1033160346. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Timothy Shea located?

Timothy Shea practices at 1409 Asheville Hwy, Brevard, NC 28712. The listed phone number is (828) 435-8400.

What is Timothy Shea's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Shea enrolled in Medicare?

Yes. Timothy Shea 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.

What insurance does Timothy Shea accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Timothy Shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Shea affiliated with any hospitals?

According to CMS data, Timothy Shea is affiliated with Margaret R Pardee Memorial Hospital and Transylvania Regional Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Timothy Shea was last updated on January 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.