DR. KELLY ANN SHINE M.D.
NPI 1477522472
Surgery in Frederick, MD

Q: What is Kelly Shine's NPI number?

The NPI number for Kelly Shine is 1477522472. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Kelly Shine's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Shine was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

85.73/100

CMS Quality Rating

74 THOMAS JOHNSON DR, FREDERICK, MD 21702(301) 694-3200(301) 662-5288 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly Ann Shine M.d. NPPES

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

DR. KELLY ANN SHINE M.D. (NPI 1477522472) is an individual surgery provider in Frederick, Maryland, licensed in Maryland (D0060209) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Yale University School Of Medicine (1995).

NPPES Registry Identity

NPI1477522472

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. KELLY ANN SHINECredential: M.D.

Location Address74 THOMAS JOHNSON DRFrederick, MD 21702-4300

Mailing Address3 E Thirteenth StFrederick, MD 21701-4402 · (240) 285-5856

Phone(301) 694-3200

Fax(301) 662-5288

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 1995

Enumeration DateMarch 14, 2006

Last NPPES UpdateJuly 1, 2013

✔ NPI 1477522472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MD · D0060209

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

74 THOMAS JOHNSON DR, Frederick, MD 21702

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Other Identifiers 3

Medicare UPINH51905

Medicare ID-Type Unspecified177-G699MD · Trailblazer Health

Medicare ID-Type Unspecified000157100MD · Maryland Med Assistance

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. Kelly Ann Shine 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 ID9739247594

PECOS Enrollment IDI20200226002341

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

106 services81 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

96 services77 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services44 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

24 services21 patients

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.

19 services18 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

Most-billed visit code 99213

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.

85.73/100

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

Scored as part of a group practice

Quality

74.06

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 12

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

DR. MAX EUGENE WINGERD M.D.

Surgery