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MARY ELLEN THERESA SHIELDS M.D.
NPI 1285680553
Surgery in Berea, KY

Active since May 26, 2006PECOS Enrolled
305 ESTILL ST, BEREA, KY 40403(859) 986-8418(859) 986-6568 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ellen Theresa Shields M.d. NPPES

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

MARY ELLEN THERESA SHIELDS M.D. (NPI 1285680553) is an individual surgery provider in Berea, Kentucky, licensed in Kentucky (30354) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285680553
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMARY ELLEN THERESA SHIELDSCredential: M.D.
Location Address305 ESTILL STBerea, KY 40403-1742
Mailing AddressPo Box 936London, KY 40743-0936 · (859) 986-8418 · Fax (859) 986-6568
Phone(859) 986-8418
Fax(859) 986-6568
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1285680553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 30354
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
305 ESTILL ST, Berea, KY 40403
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Other Identifiers 2

Medicaid64303548KY
OtherP00357584KY · Rrmc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellen Theresa Shields M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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. DASEN R RITCHEY M.D.
Surgery
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
MS. JILLISA D HAWK ARNP
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-9521
SAINT JOSEPH MEDICAL FOUNDATION, INC
Urology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 985-8100
REBECCA BRANDENBURG APRN- CNP
Nurse Practitioner (Psychiatric/Mental Health)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
SAINT JOSEPH MEDICAL FOUNDATION, INC
Otolaryngology
305 ESTILL ST, 3RD FLOOR
BEREA, KY 40403
Madison County (859) 986-6791
SAINT JOSEPH MEDICAL FOUNDATION, INC
Internal Medicine
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 986-3151
PAMELA RENAE FUGATE APRN
Nurse Practitioner (Family)
305 ESTILL ST
BEREA, KY 40403
Madison County (859) 985-1415
DR. ROSHAN PAIS M.D.
Internal Medicine
305 ESTILL ST, HOSPITALIST DEPT
BEREA, KY 40403
Madison County (859) 986-2344

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 Mary Ellen Shields's NPI number?

The NPI number for Mary Ellen Shields is 1285680553. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Mary Ellen Shields located?

Mary Ellen Shields practices at 305 Estill St, Berea, KY 40403. The listed phone number is (859) 986-8418.

What is Mary Ellen Shields's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mary Ellen Shields enrolled in Medicare?

Yes. Mary Ellen Shields is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Ellen Shields was last updated on May 5, 2022. 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.