MICHAEL P. MCSHANE MD
NPI 1093125569
Internal Medicine in Hershey, PA

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
35 HOPE DRIVE, STE 104, HERSHEY, PA 17033(717) 531-5160(717) 531-4645 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2020, Aug 14, 2018, Jul 5, 2017 (3 updates tracked since 2017).

About Michael P. Mcshane Md NPPES

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

MICHAEL P. MCSHANE MD (NPI 1093125569) is an individual internal medicine provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD465310) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1093125569
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL P. MCSHANECredential: MD
Location Address35 HOPE DRIVE, STE 104Hershey, PA 17033-2086
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(717) 531-4645
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateFebruary 4, 20203 updates tracked since enumeration
NPI 1093125569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD465310
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.
35 HOPE DRIVE, Hershey, PA 17033

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

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

Michael P. Mcshane 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 ID7719280502
PECOS Enrollment IDI20180906001408
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers17 claims46 services$1.88 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
1 supplier12 claims12 services$185.34 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 20

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

Midwife
35 HOPE DRIVE, SUITES 202 & 204
HERSHEY, PA 17033
Obstetrics & Gynecology (Reproductive Endocrinology)
35 HOPE DRIVE, STES 202/204
HERSHEY, PA 17033
Obstetrics & Gynecology
35 HOPE DRIVE, STES 202 & 204
HERSHEY, PA 17033
Obstetrics & Gynecology
35 HOPE DRIVE, SUITES 202 & 204
HERSHEY, PA 17033
Obstetrics & Gynecology
35 HOPE DRIVE, SUITES 202 & 204
HERSHEY, PA 17033
Nurse Practitioner (Obstetrics & Gynecology)
35 HOPE DRIVE, SUITES 202 & 204
HERSHEY, PA 17033
Pediatrics
35 HOPE DRIVE
HERSHEY, PA 17033
Nurse Practitioner
35 HOPE DRIVE, SUITES 202/204
HERSHEY, PA 17033

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 Michael Mcshane's NPI number?

The NPI number for Michael Mcshane is 1093125569. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Michael Mcshane located?

Michael Mcshane practices at 35 Hope Drive Ste 104, Hershey, PA 17033. The listed phone number is (717) 531-5160.

What is Michael Mcshane's specialty?

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

Is Michael Mcshane enrolled in Medicare?

Yes. Michael Mcshane 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.

Is Michael Mcshane affiliated with any hospitals?

According to CMS data, Michael Mcshane is affiliated with Geisinger Medical Center, Penn Highlands Huntingdon, Milton S Hershey Medical Center and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcshane was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.