CANDICE ELLEN SHEA MD
NPI 1548447170
Obstetrics & Gynecology in Southington, CT

Active since January 25, 2008PECOS EnrolledAccepts Medicare Assignment
89.86/100
CMS Quality Rating
1131 WEST ST, BUILDING 2, SOUTHINGTON, CT 06489(860) 276-6800(860) 276-6801 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Ellen Shea Md NPPES

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

CANDICE ELLEN SHEA MD (NPI 1548447170) is an individual obstetrics & gynecology provider in Southington, Connecticut, licensed in Connecticut (48592) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1548447170
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCANDICE ELLEN SHEACredential: MD
Location Address1131 WEST ST, BUILDING 2Southington, CT 06489-6006
Mailing Address1131 West St, Building 2Southington, CT 06489-6006 · (860) 276-6800 · Fax (860) 276-6801
Fax(860) 276-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 25, 2008
Last NPPES UpdateApril 12, 2010
NPI 1548447170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in CT · 48592 Licensed in GA · 001836
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1131 WEST ST, Southington, CT 06489

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

Candice Ellen Shea 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 ID3476685892
PECOS Enrollment IDI20100721000497
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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

89.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.17
Promoting Interoperability100
Improvement Activities40
Cost73.04

Reported Quality Measures

Breast Cancer Screening
85%201 patients4/55-star benchmark: 93%
Cervical Cancer Screening
99%1,052 patients5/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,220 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
66%1,098 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,574 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 3% · 1,216 patients
3%1,216 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 18

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

Internal Medicine (Rheumatology)
1131 WEST ST, BLDG 1 SUITE 1
SOUTHINGTON, CT 06489
Physical Therapist
1131 WEST ST
SOUTHINGTON, CT 06489
Physician Assistant (Medical)
1131 WEST ST
SOUTHINGTON, CT 06489
Advanced Practice Midwife
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Obstetrics & Gynecology
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Internal Medicine (Rheumatology)
1131 WEST ST, BLDG 1 STE 1
SOUTHINGTON, CT 06489
Advanced Practice Midwife
1131 WEST ST, BLDG 2
SOUTHINGTON, CT 06489
Social Worker (Clinical)
1131 WEST ST, BUILDING 1 SUITE 3
SOUTHINGTON, CT 06489

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 Candice Shea's NPI number?

The NPI number for Candice Shea is 1548447170. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Candice Shea located?

Candice Shea practices at 1131 West St Building 2, Southington, CT 06489. The listed phone number is (860) 276-6800.

What is Candice Shea's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Candice Shea enrolled in Medicare?

Yes. Candice Shea 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.

When was this NPI record last updated?

The NPPES record for Candice Shea was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.