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DR. EMILY ANDREANA SHAY M.D.
NPI 1245679455
Internal Medicine - Critical Care Medicine in New Brunswick, NJ

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
254 EASTON AVE, INTERNAL MEDICINE DEPARTMENT, NEW BRUNSWICK, NJ 08901(732) 745-8600 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Emily Andreana Shay M.d. NPPES

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

DR. EMILY ANDREANA SHAY M.D. (NPI 1245679455) is an individual critical care medicine provider in New Brunswick, New Jersey, licensed in North Dakota (16484) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245679455
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. EMILY ANDREANA SHAYCredential: M.D.
Location Address254 EASTON AVE, INTERNAL MEDICINE DEPARTMENTNew Brunswick, NJ 08901-1766
Mailing Address900 E Broadway AveBismarck, ND 58501-4520 · (701) 530-7000
Phone(732) 745-8600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2013
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1245679455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in ND · 16484
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 16484 (ND)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 16484 (ND)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
254 EASTON AVE, New Brunswick, NJ 08901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Dr. Emily Andreana Shay 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 ID5597181057
PECOS Enrollment IDI20200813003038
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 6

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.

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.
91 services52 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
38 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services20 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.
17 services17 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.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

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.

DR. AMIE KAWASHIMA D.O.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 339-7566
CRAIG M AUMACK RPH, PHARMD
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JENNIFER WALDMANN M.D
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 996-6741
MRS. MICHELE BRUNO HORNER MS, CGC
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-6659
ERNESTO BRETON MD
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
DR. I. MARK HIATT MD
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
JANTI CHAABAN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600
SHERENE TANASHA DUNKLEY APN-C
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Middlesex County (732) 745-8600

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 Emily Shay's NPI number?

The NPI number for Emily Shay is 1245679455. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Emily Shay located?

Emily Shay practices at 254 Easton Ave Internal Medicine Department, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.

What is Emily Shay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Emily Shay enrolled in Medicare?

Yes. Emily Shay 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 Emily Shay accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Emily Shay 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 Emily Shay affiliated with any hospitals?

According to CMS data, Emily Shay is affiliated with Chi St Alexius Health and Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for Emily Shay was last updated on December 28, 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.