Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SUSAN ELENA SHIRLEY M.D.
NPI 1427107036
Pathology - Anatomic Pathology & Clinical Pathology in Hickory, NC

Q: What is Susan Shirley's NPI number?

The NPI number for Susan Shirley is 1427107036. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Susan Shirley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Susan Shirley was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

90/100

CMS Quality Rating

1899 TATE BLVD SE, HICKORY, NC 28602(828) 322-3821 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Susan Elena Shirley M.d. NPPES

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

DR. SUSAN ELENA SHIRLEY M.D. (NPI 1427107036) is an individual anatomic pathology & clinical pathology provider in Hickory, North Carolina, licensed in Georgia (052830) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2001).

NPPES Registry Identity

NPI1427107036

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. SUSAN ELENA SHIRLEYCredential: M.D.

Location Address1899 TATE BLVD SEHickory, NC 28602-4200

Mailing Address1899 Tate Blvd SeHickory, NC 28602-4200 · (706) 291-8702

Phone(828) 322-3821

Sole ProprietorYes

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2001

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 22, 2026

NPPES CertifiedJuly 22, 2026

✔ NPI 1427107036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in GA · 052830

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1899 TATE BLVD SE, Hickory, NC 28602

Open in Google Maps ↗

Other Identifiers 2

Medicaid598765966AGA

Medicaid009942541AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Alabama.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

Dr. Susan Elena Shirley M.d. 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 ID446359814

PECOS Enrollment IDI20070626000337, I20070702000205

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 18

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

2,406 services1,158 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

270 services170 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

238 services213 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

217 services102 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

180 services150 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

126 services30 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

121 services64 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

72 services66 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

70 services63 patients

Pathology examination of specimen during surgery, first tissue block 88331

69 services33 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

44 services27 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

38 services12 patients

Cell examination of urine, computer-assisted 88121

A cell examination of urine, computer-assisted, is a lab test where a computer helps analyze your urine sample. It aids in identifying any abnormal cells or substances that may indicate health issues. The process is painless and involves collecting a urine sample.

25 services14 patients

Cell examination of specimen, selective cellular enhancement technique 88112

24 services23 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

22 services21 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

22 services22 patients

Special stained specimen slides to examine tissue, initial procedure 88342

18 services15 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110054

Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County

Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

90/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients

This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…

100%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.

CAROLINA EMG SPECIALISTS

Physical Therapist

1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602

Catawba County (704) 607-3483

LIDIA SALINAS

Behavior Technician

1899 TATE BLVD SE
HICKORY, NC 28602

Catawba County (828) 358-0976

PEDIATRIC HOUSECALL SERVICES PLLC

Pediatrics

1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602

Catawba County (828) 327-6500

DR. DAVID MARSHALL JONES MD

Neurological Surgery

1899 TATE BLVD SE, SUITE 2108
HICKORY, NC 28602

Catawba County (828) 327-6500

RICHARD VINCENT PAUL MD

Specialist

1899 TATE BLVD SE, SUITE 2101
HICKORY, NC 28602

Catawba County (828) 327-7788

DR. KERRY DANIEL PAYNE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1899 TATE BLVD SE, STE 1105
HICKORY, NC 28602

Catawba County (828) 322-3821

PIEDMONT PATHOLOGY ASSOCIATES INC

Pathology (Anatomic Pathology & Clinical Pathology)

1899 TATE BLVD SE, SUITE 1105
HICKORY, NC 28602

Catawba County (828) 322-3821

MRS. KRISTINE R BAKER N.P.

Nurse Practitioner

1899 TATE BLVD SE, STE 2101
HICKORY, NC 28602

Catawba County (828) 327-7788

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 Susan Shirley's NPI number?

The NPI number for Susan Shirley is 1427107036. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Susan Shirley located?

Susan Shirley practices at 1899 Tate Blvd SE, Hickory, NC 28602. The listed phone number is (828) 322-3821.

What is Susan Shirley's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Susan Shirley enrolled in Medicare?

Yes. Susan Shirley 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 Susan Shirley accept?

Health plans from Alliant Health Plans, Inc. and Blue Cross and Blue Shield of Alabama list Susan Shirley 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 Susan Shirley affiliated with any hospitals?

According to CMS data, Susan Shirley is affiliated with Atrium Health Floyd Medical Center and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Shirley was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.