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DR. SHANNON UGARTE M.D.
NPI 1134652118
Internal Medicine - Medical Oncology in Boston, MA

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
450 BROOKLINE AVE, BOSTON, MA 02215(617) 632-4500(617) 632-5370 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2026, Feb 11, 2022, May 30, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Shannon Ugarte M.d. NPPES

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

DR. SHANNON UGARTE M.D. (NPI 1134652118) is an individual medical oncology provider in Boston, Massachusetts, licensed in Massachusetts (1022934) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1134652118
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SHANNON UGARTECredential: M.D.
Location Address450 BROOKLINE AVEBoston, MA 02215-5450
Mailing Address450 Brookline AveBoston, MA 02215-5450 · (617) 632-4500
Phone(617) 632-4500
Fax(617) 632-5370
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2016
Enumeration DateApril 6, 2017
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1134652118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MA · 1022934
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
450 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Ugarte 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 ID4880096536
PECOS Enrollment IDI20250609000812
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shannon Ugarte reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dana-Farber Cancer Institute, Inc.
Same address
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1346433257 (Massachusetts)
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000
University Of Penn - Medical Group
269 mi
Internal Medicine
1800 LOMBARD ST STE 206
Philadelphia, PA 19146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 752 clinicians in this Medicare group
NPI 1114481504 (215) 615-2222
Permanente Medical Group Inc
2,634 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services44 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

PRABHSIMRANJOT SINGH MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-7956
SHAWN MAGUIRE PA-C
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 582-8487
KARINA FRANCA
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-2285
DR. SUZANNE JAQUETH FORREST M.D.
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3270
LAUREN KIRITSY MSW, LCSW
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (857) 215-3448
OFIR WOLAJ MD
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Suffolk County (617) 632-6139
JASON BATALHA AGPCNP-BC
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-6140
FATIMA EMRAN AMIR MS, LGC
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 632-3729

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 Shannon Ugarte's NPI number?

The NPI number for Shannon Ugarte is 1134652118. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Shannon Ugarte located?

Shannon Ugarte practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-4500.

What is Shannon Ugarte's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Shannon Ugarte enrolled in Medicare?

Yes. Shannon Ugarte 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.

Which organizations bill Medicare for Shannon Ugarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Ugarte reassigns Medicare benefits to 3 organizations: Dana-Farber Cancer Institute, Inc. (Boston, MA), University Of Penn - Medical Group (Philadelphia, PA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Ugarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Ugarte accept?

Health plans from Anthem Blue Cross and Blue Shield list Shannon Ugarte 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 Shannon Ugarte affiliated with any hospitals?

According to CMS data, Shannon Ugarte is affiliated with Beth Israel Deaconess Medical Center, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Shannon Ugarte was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.