MICHAEL A. SHEA MD
NPI 1194875807
Family Medicine in Folsom, CA
About Michael A. Shea Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL A. SHEA MD (NPI 1194875807) is an individual family medicine provider in Folsom, California, licensed in California (A79231) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Michael A. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Shea reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Carmichael, CA 95608
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- 3,056 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOLSOM, CA 95630
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 Michael Shea's NPI number?
The NPI number for Michael Shea is 1194875807. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Michael Shea located?
Michael Shea practices at 2575 E Bidwell St Ste 160, Folsom, CA 95630. The listed phone number is (916) 817-3730.
What is Michael Shea's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Shea enrolled in Medicare?
Yes. Michael 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.
Which organizations bill Medicare for Michael Shea's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shea reassigns Medicare benefits to 4 organizations: Northern California Orthopaedic Associates Corp (Roseville, CA), Brian A. Mcdowell Podiatry Corporation (Carmichael, CA), Sutter Medical Foundation (Sacramento, CA) and Sutter Bay Medical Foundation (Sacramento, 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 Michael Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michael Shea was last updated on December 22, 2023. 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.
# Michael A. Shea, MD · NPI 1194875807
Family Medicine physician in Folsom, California. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1194875807 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A79231 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2575 E BIDWELL ST STE 160, Folsom, CA 95630-6446
- **Phone:** (916) 817-3730 · **Fax:** (916) 817-3731
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Northern California Orthopaedic Associates Corp (NPI 1558720177, Roseville, CA); Brian A. Mcdowell Podiatry Corporation (NPI 1710204540, Carmichael, CA); Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); Sutter Bay Medical Foundation (NPI 1003267196, Sacramento, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** December 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194875807) · Data from the CMS NPPES public registry.