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BRIAN TERRY SHAW D.O.,
NPI 1356674493
Family Medicine in Rancho Cucamonga, CA

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730(909) 483-0505(909) 483-0508 Get Directions Write a Review

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Terry Shaw D.o., NPPES

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

BRIAN TERRY SHAW D.O., (NPI 1356674493) is an individual family medicine provider in Rancho Cucamonga, California, licensed in California (20A10900) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1356674493
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN TERRY SHAWCredential: D.O.,
Location Address9089 BASELINE RD, SUITE 100Rancho Cucamonga, CA 91730-1295
Mailing Address9089 Baseline Rd, Suite 100Rancho Cucamonga, CA 91730-1295 · (909) 483-0505 · Fax (909) 483-0508
Phone(909) 483-0505
Fax(909) 483-0508
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 8, 2009
✔ NPI 1356674493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A10900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9089 BASELINE RD, Rancho Cucamonga, CA 91730
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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

Brian Terry Shaw D.o., 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 ID1254470800
PECOS Enrollment IDI20091120000397
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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
569 services87 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
53 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
43 services30 patients
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge P9604
This service involves a healthcare professional traveling to collect necessary lab samples from patients who are homebound or in a nursing home. The travel allowance is a partial charge for the trip made to facilitate this service. It ensures medical care accessibility for all, regardless of mobility.
26 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services19 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims244 services$2.57 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,276 services$0.27 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier20 claims20 services$42.68 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$34.80 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$775.15 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers18 claims18 services$2.50 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 10

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

DR. LAURI LEE ROGERS PSY.D.
Psychologist (Clinical)
9089 BASELINE RD, SUITE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
MRS. MARIA GERARDA VALENTIN DE DOMENA L.C.S.W.
Social Worker (Clinical)
9089 BASELINE RD, STE. 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
ANGELA JO COCHRAN PA
Physician Assistant
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 483-0505
DR. GENEVIEVE B BUENAFLOR D.O.
Family Medicine
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 464-9675
DANIEL HESTEHAUGE P.A
Physician Assistant
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 483-0505
MRS. GWENDOLYN HARVILLE WASHINGTON LCSW
Social Worker (Clinical)
9089 BASELINE RD, SUITE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 210-5895
THOMAS ALLEN WOODBURY D.O.
Family Medicine (Geriatric Medicine)
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 941-9927
DR. HOLLY MILLER PSY.D.
Psychologist (Clinical Child & Adolescent)
9089 BASELINE RD, STE #200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567

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 Brian Shaw's NPI number?

The NPI number for Brian Shaw is 1356674493. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Brian Shaw located?

Brian Shaw practices at 9089 Baseline Rd Suite 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 483-0505.

What is Brian Shaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Shaw enrolled in Medicare?

Yes. Brian Shaw 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.

When was this NPI record last updated?

The NPPES record for Brian Shaw was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.