JESSICA SHIM MD
NPI 1275922916
Obstetrics & Gynecology in Boston, MA

Active since January 19, 2015PECOS Enrolled
333 LONGWOOD AVE # LO-545, BOSTON, MA 02115(617) 355-7648 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2019, Feb 13, 2016 (2 updates tracked since 2016).

About Jessica Shim Md NPPES

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

JESSICA SHIM MD (NPI 1275922916) is an individual obstetrics & gynecology provider in Boston, Massachusetts, licensed in Massachusetts (277991) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Northwestern University Feinberg Medical School (2015).

NPPES Registry Identity

NPI1275922916
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJESSICA SHIMCredential: MD
Location Address333 LONGWOOD AVE # LO-545Boston, MA 02115-5711
Mailing Address333 Longwood Ave # Lo-545Boston, MA 02115-5711 · (617) 355-7648
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2015
Enumeration DateJanuary 19, 2015
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1275922916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 277991
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
333 LONGWOOD AVE # LO-545, Boston, MA 02115

Secondary Practice Location 1

Location 1512 N McClurg Ct, Apt 1704Chicago, IL 60611-5359 · Phone (503) 997-4919

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Shim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678877404
PECOS Enrollment IDI20200505003171
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Shim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Surgery
300 LONGWOOD AVE, FEGAN 3
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 109 clinicians in this Medicare group
Obstetrics & Gynecology
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 18 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Jessica Shim's NPI number?

The NPI number for Jessica Shim is 1275922916. It was assigned to this individual provider in the NPPES registry on January 19, 2015.

Where is Jessica Shim located?

Jessica Shim practices at 333 Longwood Ave # Lo-545, Boston, MA 02115. The listed phone number is (617) 355-7648.

What is Jessica Shim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jessica Shim enrolled in Medicare?

Yes. Jessica Shim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Shim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Shim reassigns Medicare benefits to 2 organizations: Chmc Surgical Foundation Inc (Boston, MA) and Chmc Surgical Gynecology Group (Boston, MA). 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 Jessica Shim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Shim accept?

Health plans from Taro Health list Jessica Shim 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.

When was this NPI record last updated?

The NPPES record for Jessica Shim was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.