JOHN C SHIN M.D.
NPI 1114920477
Specialist in San Rafael, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
901 E ST, STE 285, SAN RAFAEL, CA 94901(415) 454-5565(415) 454-2957 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John C Shin M.d. NPPES

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

JOHN C SHIN M.D. (NPI 1114920477) is an individual specialist in San Rafael, California, licensed in California (G77943) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1114920477
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOHN C SHINCredential: M.D.
Location Address901 E ST, STE 285San Rafael, CA 94901-2850
Mailing Address901 E St, Ste 285San Rafael, CA 94901-2850 · (415) 454-5565 · Fax (415) 454-2957
Fax(415) 454-2957
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 16, 2007
NPI 1114920477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G77943
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
901 E ST, San Rafael, CA 94901

Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ91585ZCA
MedicaidGR0015750CA
Medicare UPING34456CA

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

John C Shin 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 ID4587692363
PECOS Enrollment IDI20080715000650
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 18

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 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.
1,798 services1,335 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,200 services1,163 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
505 services502 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
382 services378 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
337 services331 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
252 services150 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
63%2,204 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
68%984 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
5%4,832 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
30%4,832 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%483 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Anesthesiology
901 E ST, 270
SAN RAFAEL, CA 94901
Ophthalmology
901 E ST, SUITE 285
SAN RAFAEL, CA 94901
Optometrist
901 E ST, SUITE 285
SAN RAFAEL, CA 94901
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Specialist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Optometrist
901 E ST, STE 285
SAN RAFAEL, CA 94901
Optometrist
901 E ST, STE 285
SAN RAFAEL, CA 94901

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 John Shin's NPI number?

The NPI number for John Shin is 1114920477. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is John Shin located?

John Shin practices at 901 E St Ste 285, San Rafael, CA 94901. The listed phone number is (415) 454-5565.

What is John Shin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Shin enrolled in Medicare?

Yes. John Shin 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 John Shin accept?

Health plans from Providence Health Plan list John Shin 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.

When was this NPI record last updated?

The NPPES record for John Shin was last updated on July 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.