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PHILLIP ANDREW SHAW DPM
NPI 1447593256
Podiatrist - Sports Medicine in Everett, WA

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
3802 BROADWAY STE B, EVERETT, WA 98201(425) 259-0855 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2024, Oct 27, 2017 (2 updates tracked since 2017).

About Phillip Andrew Shaw Dpm NPPES

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

PHILLIP ANDREW SHAW DPM (NPI 1447593256) is an individual sports medicine provider in Everett, Washington, licensed in Washington (PO60640602) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2013).

NPPES Registry Identity

NPI1447593256
Entity TypeIndividualMale
Primary Taxonomy213ES0000X
Provider Legal NamePHILLIP ANDREW SHAWCredential: DPM
Location Address3802 BROADWAY STE BEverett, WA 98201-5032
Mailing Address12911 120th Ave Ne Ste C50Kirkland, WA 98034-3080 · (425) 899-3234 · Fax (425) 899-3235
Phone(425) 259-0855
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2013
Enumeration DateMarch 29, 2013
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1447593256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License✔ Licensed in WA · PO60640602
3802 BROADWAY STE B, Everett, WA 98201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Andrew Shaw Dpm 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 ID2466752738
PECOS Enrollment IDI20160620001953
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.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Washington Medical Group, Inc Ps
Same address
Podiatrist
3802 BROADWAY STE B
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 90 clinicians in this Medicare group
NPI 1932327335 (425) 259-0855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
285 services98 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
72 services13 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.
61 services61 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
34 services20 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.
28 services24 patients

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.

CASCADE PSYCHIATRIC SERVICES, PSC
Specialist
3802 BROADWAY STE B
EVERETT, WA 98201
Snohomish County (425) 259-6665
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Podiatrist
3802 BROADWAY STE B
EVERETT, WA 98201
Snohomish County (425) 259-0855

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 Phillip Shaw's NPI number?

The NPI number for Phillip Shaw is 1447593256. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Phillip Shaw located?

Phillip Shaw practices at 3802 Broadway Ste B, Everett, WA 98201. The listed phone number is (425) 259-0855.

What is Phillip Shaw's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

Is Phillip Shaw enrolled in Medicare?

Yes. Phillip 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.

Which organization bills Medicare for Phillip Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Shaw reassigns Medicare benefits to Western Washington Medical Group, Inc Ps (Everett, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Shaw accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Phillip Shaw 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.

When was this NPI record last updated?

The NPPES record for Phillip Shaw was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.