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DR. BRIAN EDWARD SHOCKLEY D P M
NPI 1477662229
Podiatrist in Vicksburg, MS

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
1814 MISSION 66, VICKSBURG, MS 39180(601) 638-7520(601) 638-7541 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Edward Shockley D P M NPPES

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

DR. BRIAN EDWARD SHOCKLEY D P M (NPI 1477662229) is an individual podiatrist in Vicksburg, Mississippi, licensed in Mississippi (MS80142) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Merit Health River Region, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1996).

NPPES Registry Identity

NPI1477662229
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. BRIAN EDWARD SHOCKLEYCredential: D P M
Location Address1814 MISSION 66Vicksburg, MS 39180-3710
Mailing Address1814 Mission 66Vicksburg, MS 39180-3710 · (601) 638-7520 · Fax (601) 638-7541
Phone(601) 638-7520
Fax(601) 638-7541
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 26, 2011
✔ NPI 1477662229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MS · MS80142
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1814 MISSION 66, Vicksburg, MS 39180
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Other Identifiers 13

Other1851563MS · United Healthcare
Other480026580MS · Railroad Medicare
Other4342670001MS · Medicare Dme
Medicare UPINU68247MS
Medicaid00119033MS
Other5963224LA · Aetna
Medicare ID-Type Unspecified480000095MS
Other1851563LA · United Healthcare
Medicare ID-Type Unspecified4J434CP38LA
Medicaid1540447LA
Other4800026580LA · Railroad Medicare
Other5963224MS · Aetna
Medicare UPINU68247LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Brian Edward Shockley D P M 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 ID8325093792
PECOS Enrollment IDI20110329000330
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 10

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.
258 services153 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.
121 services121 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
110 services69 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.
67 services56 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
46 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250031
Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39180 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES

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

DELTA FOOT CLINICS, INC
Clinic/Center (Podiatric)
1814 MISSION 66
VICKSBURG, MS 39180
Warren County (601) 638-7520

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 Brian Shockley's NPI number?

The NPI number for Brian Shockley is 1477662229. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Brian Shockley located?

Brian Shockley practices at 1814 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-7520.

What is Brian Shockley's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Brian Shockley enrolled in Medicare?

Yes. Brian Shockley 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 Brian Shockley accept?

Health plans from UnitedHealthcare list Brian Shockley 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 Brian Shockley affiliated with any hospitals?

According to CMS data, Brian Shockley is affiliated with Merit Health River Region.

When was this NPI record last updated?

The NPPES record for Brian Shockley was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.