JOSEPH W SHEA MD
NPI 1164446944
Obstetrics & Gynecology in Waukesha, WI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
W231N1440 CORPORATE CT, WAUKESHA, WI 53186(262) 896-6000 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 18, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Joseph W Shea Md NPPES

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

JOSEPH W SHEA MD (NPI 1164446944) is an individual obstetrics & gynecology provider in Waukesha, Wisconsin, licensed in Wisconsin (32784-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center - Summit, and is a graduate of Medical College Of Wisconsin (1988).

NPPES Registry Identity

NPI1164446944
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOSEPH W SHEACredential: MD
Location AddressW231N1440 CORPORATE CTWaukesha, WI 53186-1303
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (262) 896-6000
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1988
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
NPI 1164446944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 32784-020
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
W231N1440 CORPORATE CT, Waukesha, WI 53186

Other Identifiers 1

Medicaid31804800WI

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

Joseph W Shea 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 ID2163313321
PECOS Enrollment IDI20040324001489
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Radiology (Vascular & Interventional Radiology)
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Specialist
W231N1440 CORPORATE CT, SUITE 307
WAUKESHA, WI 53186
Pediatrics
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Occupational Therapist
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Family Medicine
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Social Worker (Clinical)
W231N1440 CORPORATE CT, SUITE 310
WAUKESHA, WI 53186

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 Joseph Shea's NPI number?

The NPI number for Joseph Shea is 1164446944. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Joseph Shea located?

Joseph Shea practices at W231n1440 Corporate Ct, Waukesha, WI 53186. The listed phone number is (262) 896-6000.

What is Joseph Shea's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joseph Shea enrolled in Medicare?

Yes. Joseph Shea 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 Joseph Shea accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Joseph Shea 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 Joseph Shea affiliated with any hospitals?

According to CMS data, Joseph Shea is affiliated with Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Joseph Shea was last updated on October 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.