PATRICK SHEA M.D.
NPI 1184689705
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Q: What is Patrick Shea's NPI number?

The NPI number for Patrick Shea is 1184689705. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Patrick Shea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Shea was last updated on August 1, 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.

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

10506A MONTGOMERY RD, STE 301, CINCINNATI, OH 45242(513) 246-2400 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Patrick Shea M.d. NPPES

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

PATRICK SHEA M.D. (NPI 1184689705) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35058255) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of University Of Michigan Medical School (1980).

NPPES Registry Identity

NPI1184689705

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePATRICK SHEACredential: M.D.

Location Address10506A MONTGOMERY RD, STE 301Cincinnati, OH 45242-4400

Mailing Address10506a Montgomery Rd, Ste 301Cincinnati, OH 45242-4400 · (513) 246-2400

Phone(513) 246-2400

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1980

Enumeration DateApril 18, 2006

Last NPPES UpdateAugust 1, 2024

NPPES CertifiedAugust 1, 2024

✔ NPI 1184689705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35058255

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.

10506A MONTGOMERY RD, Cincinnati, OH 45242

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Other Identifiers 11

Other000000238177Anthem Middletown

Medicaid0741200OH

Medicaid100335960IN

Other311438871005United

Other311438871056Caresource

Other000000019922Anthem

Other0647185Aetna

Other110061530OH · Railroad Medicare

Other283910Amerigroup

Other58255-08Humana

Medicaid64864143KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

Patrick Shea 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 ID8820987605

PECOS Enrollment IDI20050207000937

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 14

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 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.

475 services304 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.

232 services232 patients

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.

191 services181 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

111 services59 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

91 services90 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

59 services50 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

55 services53 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

44 services42 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

44 services42 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.

40 services40 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

28 services28 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

27 services27 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

27 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

24 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number361332

Location1275 North High StreetHillsboro, OH 45133 · Highland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

38%341 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

29%348 patients2/55-star benchmark: 100%

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 20

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

KAREN NELTNER MMSC

Genetic Counselor, MS

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-5925

JOHN M MASHNY MD

Internal Medicine (Cardiovascular Disease)

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

MELISSA LOUIS JAUN PA-C

Physician Assistant

10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242

Hamilton County (513) 246-2400

SHIRIN BIGDELIAZARI

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (859) 285-7221

ALEXANDER NIEHAUS PHARMD

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-7016

DR. SAULIUS K GIRNIUS

Internal Medicine (Hematology & Oncology)

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 853-1300

MRS. LEAH KAY ABATE MS, CGC

Genetic Counselor, MS

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 865-5929

JOSEPH DARBY KIRKPATRICK BENNETT PHARMD

Pharmacist

10506A MONTGOMERY RD
MONTGOMERY, OH 45242

Hamilton County (513) 246-7016

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 Patrick Shea's NPI number?

The NPI number for Patrick Shea is 1184689705. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Patrick Shea located?

Patrick Shea practices at 10506A Montgomery Rd Ste 301, Cincinnati, OH 45242. The listed phone number is (513) 246-2400.

What is Patrick Shea's specialty?

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

Is Patrick Shea enrolled in Medicare?

Yes. Patrick 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 Patrick Shea accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Patrick 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 Patrick Shea affiliated with any hospitals?

According to CMS data, Patrick Shea is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital, Bethesda North and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Shea was last updated on August 1, 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.