MR. RYAN T SHAW
NPI 1568146249
Physician Assistant - Medical in Brockton, MA

Active since June 13, 2023PECOS EnrolledAccepts Medicare Assignment
500 WESTGATE DR STE 10, BROCKTON, MA 02301(978) 944-4023 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2026, Jun 13, 2023 (2 updates tracked since 2023).

About Mr. Ryan T Shaw NPPES

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

MR. RYAN T SHAW (NPI 1568146249) is an individual medical provider in Brockton, Massachusetts, licensed in Massachusetts (PA101760) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1568146249
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RYAN T SHAW
Location Address500 WESTGATE DR STE 10Brockton, MA 02301-1855
Mailing Address500 Westgate Dr Ste 10Brockton, MA 02301-1855 · (978) 944-4023
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 13, 2023
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1568146249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MA · PA101760
500 WESTGATE DR STE 10, Brockton, MA 02301

Medicare Participation & PECOS Enrollment Status

Ryan Shaw is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ryan Shaw is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9032610217

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250828004846

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. RYAN T SHAW

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Urgent Care)
500 WESTGATE DR STE 10
BROCKTON, MA 02301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568146249, enumerated as an "individual" on June 13, 2023.

The provider is located at 500 WESTGATE DR STE 10 BROCKTON, MA 02301 and the phone number is (978) 944-4023.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.