MR. SHAUN MCDONOUGH APN
NPI 1558747154
Nurse Practitioner - Adult Health in Somerset, NJ

Active since August 05, 2015PECOS EnrolledAccepts Medicare Assignment
81 VERONICA AVE, SUITE 203, SOMERSET, NJ 08873(917) 596-4004 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shaun Mcdonough Apn NPPES

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

MR. SHAUN MCDONOUGH APN (NPI 1558747154) is an individual adult health provider in Somerset, New Jersey, licensed in New Jersey (26NJ00581600) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558747154
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. SHAUN MCDONOUGHCredential: APN
Location Address81 VERONICA AVE, SUITE 203Somerset, NJ 08873-3491
Mailing Address43 Westmount DrLivingston, NJ 07039-4230
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 5, 2015
NPI 1558747154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00581600
81 VERONICA AVE, Somerset, NJ 08873

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

Mr. Shaun Mcdonough Apn 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 ID5395052054
PECOS Enrollment IDI20150914002360
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 4

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 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.
758 services450 patients
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.
670 services420 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
149 services117 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.
49 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08873 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%258 patients5/55-star benchmark: 100%
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 6

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

Internal Medicine (Gastroenterology)
81 VERONICA AVE, SUITE 206
SOMERSET, NJ 08873
Specialist
81 VERONICA AVE
SOMERSET, NJ 08873
Internal Medicine (Gastroenterology)
81 VERONICA AVE, SUITE 206
SOMERSET, NJ 08873
Internal Medicine (Pulmonary Disease)
81 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Specialist
81 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Obstetrics & Gynecology (Reproductive Endocrinology)
81 VERONICA AVE
SOMERSET, NJ 08873

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 Shaun Mcdonough's NPI number?

The NPI number for Shaun Mcdonough is 1558747154. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Shaun Mcdonough located?

Shaun Mcdonough practices at 81 Veronica Ave Suite 203, Somerset, NJ 08873. The listed phone number is (917) 596-4004.

What is Shaun Mcdonough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shaun Mcdonough enrolled in Medicare?

Yes. Shaun Mcdonough 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.

Is Shaun Mcdonough affiliated with any hospitals?

According to CMS data, Shaun Mcdonough is affiliated with Hunterdon Medical Center, Morristown Medical Center, Saint Clare's Hospital/ Denville Campus and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Shaun Mcdonough was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.