MR. SHANE BROWN PA
NPI 1205505583
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since September 09, 2021PECOS Enrolled
78.36/100
CMS Quality Rating
600 SOUTH 43RD STREET, UNIVERSITY OF THE SCIENCES, PHILADELPHIA, PA 18966(215) 596-7140 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Brown Pa NPPES

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

MR. SHANE BROWN PA (NPI 1205505583) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205505583
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SHANE BROWNCredential: PA
Location Address600 SOUTH 43RD STREET, UNIVERSITY OF THE SCIENCESPhiladelphia, PA 18966
Mailing Address139 Harriet RdChurchville, PA 18966-1469 · (215) 680-4471
Sole ProprietorYes
Enumeration DateSeptember 9, 2021
NPPES CertifiedAugust 29, 2021
NPI 1205505583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 SOUTH 43RD STREET, Philadelphia, PA 18966

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Shane Brown Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
140 services135 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services40 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services22 patients

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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

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 Shane Brown's NPI number?

The NPI number for Shane Brown is 1205505583. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Shane Brown located?

Shane Brown practices at 600 South 43rd Street University Of The Sciences, Philadelphia, PA 18966. The listed phone number is (215) 596-7140.

What is Shane Brown's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shane Brown enrolled in Medicare?

Yes. Shane Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Brown was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.