MICHAEL SHAPIRO M.D.
NPI 1306861604
Internal Medicine - Pulmonary Disease in Austin, TX

Q: What is Michael Shapiro's NPI number?

The NPI number for Michael Shapiro is 1306861604. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Michael Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Shapiro was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

72.52/100

CMS Quality Rating

1301 W 38TH ST STE 700, AUSTIN, TX 78705(512) 324-3340 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Shapiro M.d. NPPES

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

MICHAEL SHAPIRO M.D. (NPI 1306861604) is an individual pulmonary disease provider in Austin, Texas, licensed in Texas (F1996) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1973).

NPPES Registry Identity

NPI1306861604

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMICHAEL SHAPIROCredential: M.D.

Location Address1301 W 38TH ST STE 700Austin, TX 78705-1016

Mailing Address1301 W 38th St Ste 700Austin, TX 78705-1016 · (512) 324-3340

Phone(512) 324-3340

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1973

Enumeration DateJuly 13, 2006

Last NPPES UpdateJune 14, 2021

NPPES CertifiedJune 14, 2021

✔ NPI 1306861604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · F1996

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1301 W 38TH ST STE 700, Austin, TX 78705

Open in Google Maps ↗

Other Identifiers 1

Medicaid131980802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Michael Shapiro 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 ID7719998335

PECOS Enrollment IDI20100209000663

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 3

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.

44 services24 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

26 services18 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.

25 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

72.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

Reported Quality Measures

Breast Cancer Screening

24%25 patients2/55-star benchmark: 93%

Cervical Cancer Screening

26%31 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

7%85 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

21%53 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

98%291 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

6%48 patients1/55-star benchmark: 100%

HIV Screening

3%92 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

36%107 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

29%123 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%206 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 116 patients

97%116 patients

Provide Patients Electronic Access to Their Health Information

94%66 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 50 patients

Patients totalRate: 6% · 50 patients

6%50 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers22 claims22 services$32.83 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

2 suppliers15 claims51 services$3.26 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers13 claims61 services$6.96 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

2 suppliers15 claims51 services$2.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers14 claims28 services$1.75 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

2 suppliers13 claims14 services$1.30 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers12 claims12 services$81.50 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers11 claims33 services$28.42 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers17 claims98 services$12.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers22 claims22 services$43.81 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers20 claims20 services$13.83 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers12 claims12 services$9.05 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

12 suppliers35 claims202 services$1.73 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

9 suppliers16 claims16 services$10.09 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

6 suppliers131 claims131 services$913.18 avg. paid by Medicare

Cough stimulating device, alternating positive and negative airway pressure E0482

DME-Other DME · category DE000N

2 suppliers19 claims19 services$360.70 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers18 claims18 services$4.55 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier14 claims14 services$37.92 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers17 claims17 services$28.31 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers87 claims87 services$59.98 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims33 services$30.08 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers24 claims5,274 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers25 claims1,692 services$0.75 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers24 claims24 services$24.99 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN DAVID HINZE D.O.

Internal Medicine (Critical Care Medicine)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

RAJ DILIP KERIWALA MD

Internal Medicine (Pulmonary Disease)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

KOONJ ASHVIN SHAH MD

Internal Medicine (Critical Care Medicine)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

DR. SHAILAJA JANAKI HAYDEN M.D.

Internal Medicine (Pulmonary Disease)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

ANDREW GEORGE PHILIP KITCHER M.D.

Internal Medicine (Critical Care Medicine)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

SAMANTHA MARIE VOGEL PHARMD

Pharmacist (Psychiatric)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3380

MICHAEL RISTAGNO III

Student in an Organized Health Care Education/Training Program

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (833) 882-2737

PAUL HENRY HARFORD M.D.

Internal Medicine (Critical Care Medicine)

1301 W 38TH ST STE 700
AUSTIN, TX 78705

Travis County (512) 324-3340

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 Shapiro's NPI number?

The NPI number for Michael Shapiro is 1306861604. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Michael Shapiro located?

Michael Shapiro practices at 1301 W 38th St Ste 700, Austin, TX 78705. The listed phone number is (512) 324-3340.

What is Michael Shapiro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Shapiro enrolled in Medicare?

Yes. Michael Shapiro 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 Michael Shapiro accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Michael Shapiro 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 Michael Shapiro was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.