JAMES ROBERT SHAW MD
NPI 1457443079
Family Medicine in Brevard, NC

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
377 GALLIMORE RD, BREVARD, BREVARD, NC 28712(828) 884-9030(828) 884-3563 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Robert Shaw Md NPPES

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

JAMES ROBERT SHAW MD (NPI 1457443079) is an individual family medicine provider in Brevard, North Carolina, licensed in North Carolina (35197) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Down East Community Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (1978).

NPPES Registry Identity

NPI1457443079
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES ROBERT SHAWCredential: MD
Location Address377 GALLIMORE RD, BREVARDBrevard, NC 28712-8874
Mailing AddressPo Box 602373, CharlotteCharlotte, NC 28260-2373 · (828) 213-1500 · Fax (828) 651-6570
Fax(828) 884-3563
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1978
Enumeration DateSeptember 29, 2006
Last NPPES UpdateFebruary 9, 2022
NPI 1457443079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 35197
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.
377 GALLIMORE RD, Brevard, NC 28712

Other Identifiers 10

Other01-70577NC · United Healthcare
Other75523NC · Blue Cross Blue Shield
Other0637660001NC · Palmetto Government Servi
OtherNCM996BNC · Medicare Ptan
Other080084314NC · Railroad Medicare
OtherNCM996ANC · Medicare Ptan
Medicaid8975523NC
OtherNCM996CNC · Medicare Ptan
Other213592CNC · Medicare Ptan
Other561852981FNC · Cigna

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

James Robert Shaw 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 ID6305866401
PECOS Enrollment IDI20251007000218
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.

Hospital Affiliations CMS Care Compare

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

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28712 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

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 6

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
4 suppliers25 claims52 services$4.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims15 services$0.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers41 claims41 services$19.66 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$109.51 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims21 services$215.26 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 7

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

Internal Medicine
377 GALLIMORE RD
BREVARD, NC 28712
Family Medicine
377 GALLIMORE RD
BREVARD, NC 28712
Family Medicine
377 GALLIMORE RD
BREVARD, NC 28712
Pharmacist
377 GALLIMORE RD
BREVARD, NC 28712
Family Medicine
377 GALLIMORE RD
BREVARD, NC 28712
Family Medicine
377 GALLIMORE RD
BREVARD, NC 28712
Neurological Surgery
377 GALLIMORE RD
BREVARD, NC 28712

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 James Shaw's NPI number?

The NPI number for James Shaw is 1457443079. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is James Shaw located?

James Shaw practices at 377 Gallimore Rd Brevard, Brevard, NC 28712. The listed phone number is (828) 884-9030.

What is James Shaw's specialty?

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

Is James Shaw enrolled in Medicare?

Yes. James 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.

What insurance does James Shaw accept?

Health plans from AmeriHealth Caritas Next list James 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.

Is James Shaw affiliated with any hospitals?

According to CMS data, James Shaw is affiliated with Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for James Shaw was last updated on February 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.