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BRIAN SHIPLEY MD
NPI 1144649617
Internal Medicine - Cardiovascular Disease in Fort Hood, TX

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment
36065 SANTA FE AVE, FORT HOOD, TX 76544(254) 553-0686 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Aug 21, 2020, Jul 9, 2019 (3 updates tracked since 2019).

About Brian Shipley Md NPPES

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

BRIAN SHIPLEY MD (NPI 1144649617) is an individual cardiovascular disease provider in Fort Hood, Texas, licensed in Texas (T1558) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1144649617
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBRIAN SHIPLEYCredential: MD
Location Address36065 SANTA FE AVEFort Hood, TX 76544-5060
Mailing Address36065 Santa Fe AveFort Hood, TX 76544-5060
Phone(254) 553-0686
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 14, 2014
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1144649617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · T1558
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101259832 (VA)
Also ListedHospitalistTaxonomy 208M00000X · License 0101259832 (VA)
36065 SANTA FE AVE, Fort Hood, TX 76544
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Brian Shipley 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 ID143500363
PECOS Enrollment IDI20240918004876
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
63 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
44 services44 patients
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.
37 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76544 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 20

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

DR. RICHARD ALLEN SONNIER NP
Nurse Practitioner (Psychiatric/Mental Health)
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 462-6135
DR. ERIC HEPPNER M.D.
Internal Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8090
DR. MOSES MUSOKE PHARM.D.
Pharmacist (Critical Care)
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8828
DR. LAWRENCE MICHAEL MARTINEK MD
Internal Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-9000
AGNIESZKA MASLANKA
Physician Assistant
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 288-8000
DAVID S IVERSON MD
General Practice
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544
Bell County (254) 553-6974
BRANDON MATTHEW OSWALD MD
Emergency Medicine
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8000
HOLLY MARIE ALLEN
Military Health Care Provider
36065 SANTA FE AVE
FORT HOOD, TX 76544
Bell County (254) 288-8000

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 Brian Shipley's NPI number?

The NPI number for Brian Shipley is 1144649617. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Brian Shipley located?

Brian Shipley practices at 36065 Santa Fe Ave, Fort Hood, TX 76544. The listed phone number is (254) 553-0686.

What is Brian Shipley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Shipley enrolled in Medicare?

Yes. Brian Shipley 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 Brian Shipley accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Brian Shipley 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 Brian Shipley affiliated with any hospitals?

According to CMS data, Brian Shipley is affiliated with Baylor University Medical Center, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Brian Shipley was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.