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SHANE W. COUGHLIN MD
NPI 1336441419
Emergency Medicine in Memphis, TN

Active since November 23, 2010PECOS EnrolledAccepts Medicare Assignment
26.76/100
CMS Quality Rating
1407 UNION AVE, SUITE 200, MEMPHIS, TN 38104(901) 866-8813(901) 302-2120 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2020, Jun 17, 2017 (2 updates tracked since 2017).

About Shane W. Coughlin Md NPPES

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

SHANE W. COUGHLIN MD (NPI 1336441419) is an individual emergency medicine provider in Memphis, Tennessee, licensed in Pennsylvania (MT213433) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1336441419
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHANE W. COUGHLINCredential: MD
Location Address1407 UNION AVE, SUITE 200Memphis, TN 38104-3600
Mailing Address1407 Union Ave, Suite 640Memphis, TN 38104-3666 · (901) 866-8360 · Fax (901) 302-2360
Phone(901) 866-8813
Fax(901) 302-2120
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2017
Enumeration DateNovember 23, 2010
Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1336441419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MT213433
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1407 UNION AVE, Memphis, TN 38104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Shane W. Coughlin Md 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 ID2860673704
PECOS Enrollment IDI20200702000572, I20200706001360, I20200810001923
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
352 services336 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
160 services157 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
38 services38 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

26.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality9.22
Improvement Activities40

Reported Quality Measures

Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
86%21 patients
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.

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.

RANI LEWIS MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1407 UNION AVE, STE 802
MEMPHIS, TN 38104
Shelby County (901) 259-5341
STEPHEN DARRYL PISHKO MD
Hospitalist
1407 UNION AVE, SUITE 200
MEMPHIS, TN 38104
Shelby County (901) 886-8813
CHARLOTTE M FREEMAN PHD
Psychologist
1407 UNION AVE, SUITE 709
MEMPHIS, TN 38104
Shelby County (901) 726-5200
DR. RAJESH KABRA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1407 UNION AVE, SUITE 200
MEMPHIS, TN 38104
Shelby County (901) 866-8813
DR. STEPHENY D. BERRY MD
Surgery (Trauma Surgery)
1407 UNION AVE, SUITE 200
MEMPHIS, TN 38104
Shelby County (901) 866-8813
MRS. ALLISON THORNELL WEST NNP
Nurse Practitioner (Neonatal)
1407 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 866-8864
STEFANIE CAROL GREGORY P.T.
Physical Therapist
1407 UNION AVE, SUITE 101
MEMPHIS, TN 38104
Shelby County (901) 725-0072
MRS. LEIGH ANN PRAY LMFT
Marriage & Family Therapist
1407 UNION AVE
MEMPHIS, TN 38104
Shelby County (901) 800-4645

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 Shane Coughlin's NPI number?

The NPI number for Shane Coughlin is 1336441419. It was assigned to this individual provider in the NPPES registry on November 23, 2010.

Where is Shane Coughlin located?

Shane Coughlin practices at 1407 Union Ave Suite 200, Memphis, TN 38104. The listed phone number is (901) 866-8813.

What is Shane Coughlin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shane Coughlin enrolled in Medicare?

Yes. Shane Coughlin 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 Shane Coughlin accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shane Coughlin 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 Shane Coughlin affiliated with any hospitals?

According to CMS data, Shane Coughlin is affiliated with Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shane Coughlin was last updated on July 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.