SHALIN C SHAH D.O.
NPI 1407156953
Pain Medicine - Interventional Pain Medicine in Augusta, GA

Active since November 01, 2010PECOS EnrolledAccepts Medicare Assignment
85.02/100
CMS Quality Rating
1367 INTERSTATE PKWY, AUGUSTA, GA 30909(404) 920-4950(404) 920-4959 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2022, May 3, 2021, Jan 25, 2019 (3 updates tracked since 2019).

About Shalin C Shah D.o. NPPES

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

SHALIN C SHAH D.O. (NPI 1407156953) is an individual interventional pain medicine provider in Augusta, Georgia, licensed in Georgia (762671) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1407156953
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameSHALIN C SHAHCredential: D.O.
Location Address1367 INTERSTATE PKWYAugusta, GA 30909-5626
Mailing Address3390 Peachtree Rd Ne Ste 1500Atlanta, GA 30326-2822 · (404) 920-4950 · Fax (404) 920-4959
Fax(404) 920-4959
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2010
Enumeration DateNovember 1, 2010
Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1407156953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in GA · 762671
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 58.003847 (OH), 37600 (SC), 72671 (GA)
1367 INTERSTATE PKWY, Augusta, GA 30909

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

Shalin C Shah 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 ID5991021123
PECOS Enrollment IDI20150306001208, I20150709000733
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 28

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.
586 services379 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
459 services107 patients
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.
381 services263 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
330 services193 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
255 services181 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
223 services201 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Promoting Interoperability100
Improvement Activities40
Cost60.65

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%280 patients5/55-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.

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
1367 INTERSTATE PKWY
AUGUSTA, GA 30909
Pain Medicine (Interventional Pain Medicine)
1367 INTERSTATE PKWY
AUGUSTA, GA 30909
Pain Medicine (Interventional Pain Medicine)
1367 INTERSTATE PKWY
AUGUSTA, GA 30909
Clinic/Center (Ambulatory Surgical)
1367 INTERSTATE PKWY
AUGUSTA, GA 30909

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 Shalin Shah's NPI number?

The NPI number for Shalin Shah is 1407156953. It was assigned to this individual provider in the NPPES registry on November 1, 2010.

Where is Shalin Shah located?

Shalin Shah practices at 1367 Interstate Pkwy, Augusta, GA 30909. The listed phone number is (404) 920-4950.

What is Shalin Shah's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Shalin Shah enrolled in Medicare?

Yes. Shalin Shah 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 Shalin Shah accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list Shalin Shah 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 Shalin Shah affiliated with any hospitals?

According to CMS data, Shalin Shah is affiliated with Piedmont Augusta Hospital, Au Medical Center and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shalin Shah was last updated on August 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.