DR. CARLA JEAN SHAH M.D.
NPI 1336226646
Radiology - Diagnostic Radiology in Mequon, WI

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

81.58/100

CMS Quality Rating

10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092(262) 292-3151(414) 434-0467 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2023, Feb 18, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Dr. Carla Jean Shah M.d. NPPES

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

DR. CARLA JEAN SHAH M.D. (NPI 1336226646) is an individual diagnostic radiology provider in Mequon, Wisconsin, licensed in Wisconsin (50269-020) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Southern Illinois University School Of Medicine (2011).

NPPES Registry Identity

NPI1336226646

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. CARLA JEAN SHAHCredential: M.D.

Location Address10945 N PORT WASHINGTON RD STE 201Mequon, WI 53092-5078

Mailing Address10945 N Port Washington Rd Ste 201Mequon, WI 53092-5078 · (262) 292-3151

Phone(262) 292-3151

Fax(414) 434-0467

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2011

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 17, 20235 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1336226646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WI · 50269-020

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

10945 N PORT WASHINGTON RD STE 201, Mequon, WI 53092

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Other Names 1

Former Name (1)Carla Jean Muntz

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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. Carla Jean Shah 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 ID2961536511

PECOS Enrollment IDI20100818000051

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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

155 services155 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

154 services154 patients

Screening 3d breast mammography 77063

61 services61 patients

Screening mammography 77067

61 services61 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

21 services20 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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.

81.58/100

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

Scored as part of a group practice

Quality

94.95

Improvement Activities

Cost

41.55

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.

WISCONSIN MICHIGAN PHYSICIANS, SC

Durable Medical Equipment & Medical Supplies