DR. KENNETH NEIL SHAW M.D.
NPI 1124060249
Emergency Medicine in Sevierville, TN

Q: What is Kenneth Shaw's NPI number?

The NPI number for Kenneth Shaw is 1124060249. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Kenneth Shaw's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Shaw was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 12, 2006PECOS Enrolled

709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862(865) 453-7111 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kenneth Neil Shaw M.d. NPPES

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

DR. KENNETH NEIL SHAW M.D. (NPI 1124060249) is an individual emergency medicine provider in Sevierville, Tennessee, licensed in Tennessee (MD021361) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124060249

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KENNETH NEIL SHAWCredential: M.D.

Location Address709 MIDDLE CREEK RDSevierville, TN 37862-5047

Mailing AddressPo Box 634706Cincinnati, OH 45263-0001

Phone(865) 453-7111

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateNovember 29, 2007

✔ NPI 1124060249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · MD021361

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

709 MIDDLE CREEK RD, Sevierville, TN 37862

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Other Identifiers 9

Medicare PIN3816910TN

Medicaid64035975KY

Other3081457TN · Blue Cross

Other0154929TN · Blue Cross

Medicaid3816910TN

OtherP00312153TN · Railroad Medicare

OtherP00211373TN · Railroad Medicare

Medicaid3816911TN

Medicare PIN3816911TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Neil Shaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

85 services81 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Other Providers at the Same Location NPPES 19

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

MRS. AMANDA DELANEY MILLER RPH

Pharmacist