MICHAEL A. SHEA MD
NPI 1194875807
Family Medicine in Folsom, CA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
84.92/100
CMS Quality Rating
2575 E BIDWELL ST STE 160, FOLSOM, CA 95630(916) 817-3730(916) 817-3731 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, Mar 29, 2021 (2 updates tracked since 2021).

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

NPI1194875807
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL A. SHEACredential: MD
Location Address2575 E BIDWELL ST STE 160Folsom, CA 95630-6446
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Fax(916) 817-3731
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
NPI 1194875807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A79231
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License A79231 (CA)
2575 E BIDWELL ST STE 160, Folsom, CA 95630

Secondary Practice Location 1

Location 11201 Alhambra Blvd Ste 230Sacramento, CA 95816-5241 · Phone (916) 731-7728

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

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.

PECOS PAC ID1456449370
PECOS Enrollment IDI20071109000599
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 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.

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.
285 services260 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.
130 services126 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
80 services72 patients
Detection test by immunoassay technique for streptococcus, group a (strep) 87430
A detection test using the immunoassay technique for Group A Strep is a simple procedure. It identifies a specific bacteria, Streptococcus, which can cause throat infections. A swab from your throat is taken and tested for the presence of these bacteria.
31 services29 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
23 services23 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
22 services21 patients

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.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

84.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.98
Promoting Interoperability100
Improvement Activities40

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.

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$535.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist (Orthopedic)
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physician Assistant
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physical Therapist (Orthopedic)
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Emergency Medicine
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Family Medicine
2575 E BIDWELL ST STE 160
FOLSOM, CA 95630
Physical Therapist
2575 E BIDWELL ST STE 160
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.

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.