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DR. CHARLES PHILIP SHAW D.O.
NPI 1417100223
Family Medicine in Richmond, KY

Active since October 24, 2008PECOS Enrolled
100/100
CMS Quality Rating
1054 CENTER DR STE 2, RICHMOND, KY 40475(859) 625-5242(859) 625-5279 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2020, Jul 11, 2019, Nov 28, 2017 (3 updates tracked since 2017).

About Dr. Charles Philip Shaw D.o. NPPES

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

DR. CHARLES PHILIP SHAW D.O. (NPI 1417100223) is an individual family medicine provider in Richmond, Kentucky, licensed in Kentucky (03139) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417100223
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES PHILIP SHAWCredential: D.O.
Location Address1054 CENTER DR STE 2Richmond, KY 40475-3851
Mailing Address800 Rose StLexington, KY 40536-7001
Phone(859) 625-5242
Fax(859) 625-5279
Sole ProprietorYes
Enumeration DateOctober 24, 2008
Last NPPES UpdateSeptember 14, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1417100223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 03139
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.
1054 CENTER DR STE 2, Richmond, KY 40475
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Other Identifiers 1

Medicaid7100076180KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Philip Shaw D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers34 claims70 services$5.14 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier24 claims24 services$25.92 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 2

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

ANIL HARRISON M.D. PSC
Clinic/Center (Primary Care)
1054 CENTER DR STE 2
RICHMOND, KY 40475
Madison County (859) 625-5242
JORDAN MATTHEW MCNEIL PA
Physician Assistant
1054 CENTER DR STE 2
RICHMOND, KY 40475
Madison County (859) 625-5242

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 Charles Shaw's NPI number?

The NPI number for Charles Shaw is 1417100223. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Charles Shaw located?

Charles Shaw practices at 1054 Center Dr Ste 2, Richmond, KY 40475. The listed phone number is (859) 625-5242.

What is Charles Shaw's specialty?

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

Is Charles Shaw enrolled in Medicare?

Yes. Charles Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Shaw was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.