MR. PAUL F SHEA MD
NPI 1376508630
Specialist in Memphis, TN

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
72.69/100
CMS Quality Rating
6133 POPLAR PIKE, MEMPHIS, TN 38119(901) 761-9720(901) 683-8440 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Paul F Shea Md NPPES

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

MR. PAUL F SHEA MD (NPI 1376508630) is an individual specialist in Memphis, Tennessee and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Tulane University School Of Medicine (1995).

NPPES Registry Identity

NPI1376508630
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. PAUL F SHEACredential: MD
Location Address6133 POPLAR PIKEMemphis, TN 38119-4707
Mailing AddressPo Box 17987Memphis, TN 38187-0987 · (901) 761-9720 · Fax (901) 683-8440
Fax(901) 683-8440
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1995
Enumeration DateApril 19, 2006
Last NPPES UpdateOctober 20, 2010
NPI 1376508630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6133 POPLAR PIKE, Memphis, TN 38119

Other Identifiers 2

Medicare UPINH41279TN
Medicare ID-Type Unspecified3873164TN · Medicare Ind Number

Accepted 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

Mr. Paul F Shea 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 ID8022292101
PECOS Enrollment IDI20110414000284
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 17

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
635 services399 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
393 services386 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
294 services294 patients
Incision of fluid canal of inner ear with infusion of drugs 69801
This procedure involves making a small cut in the inner ear's fluid canal. Medication is then infused directly into this area. It's often used to treat certain ear conditions or hearing issues. Rest assured, it's done under professional supervision.
204 services77 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
68 services66 patients
Ct scan of cranial cavity without contrast 70480
A CT scan of the cranial cavity without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed images of your head, specifically the brain area. This can help detect conditions like tumors, infections, or injuries. No dye (contrast) is used in this procedure.
49 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

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.

72.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.74
Improvement Activities40
Cost29.3

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
100%39 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 10

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

Audiologist-Hearing Aid Fitter
6133 POPLAR PIKE
MEMPHIS, TN 38119
Audiologist
6133 POPLAR PIKE
MEMPHIS, TN 38119
Hearing Aid Equipment
6133 POPLAR PIKE
MEMPHIS, TN 38119
Specialist
6133 POPLAR PIKE
MEMPHIS, TN 38119
Nurse Anesthetist, Certified Registered
6133 POPLAR PIKE
MEMPHIS, TN 38119
Specialist
6133 POPLAR PIKE
MEMPHIS, TN 38119
Audiologist
6133 POPLAR PIKE
MEMPHIS, TN 38119
Nurse Anesthetist, Certified Registered
6133 POPLAR PIKE
MEMPHIS, TN 38119

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 Paul Shea's NPI number?

The NPI number for Paul Shea is 1376508630. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Paul Shea located?

Paul Shea practices at 6133 Poplar Pike, Memphis, TN 38119. The listed phone number is (901) 761-9720.

What is Paul Shea's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Paul Shea enrolled in Medicare?

Yes. Paul Shea 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 Paul Shea accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Paul Shea 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 Paul Shea affiliated with any hospitals?

According to CMS data, Paul Shea is affiliated with Baptist Memorial Hospital and Methodist Hospitals Of Memphis.

When was this NPI record last updated?

The NPPES record for Paul Shea was last updated on October 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.