DR. PETER C. SHIN M.D.
NPI 1568522035
Neurological Surgery in Albuquerque, NM

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
MSC 10 5615, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-3401(505) 272-6091 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter C. Shin M.d. NPPES

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

DR. PETER C. SHIN M.D. (NPI 1568522035) is an individual neurological surgery provider in Albuquerque, New Mexico, licensed in New Mexico (MD2013-0879) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1991).

NPPES Registry Identity

NPI1568522035
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. PETER C. SHINCredential: M.D.
Location AddressMSC 10 5615, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-6901
Fax(505) 272-6091
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1991
Enumeration DateDecember 12, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1568522035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in NM · MD2013-0879 Licensed in WA · MD00040264
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
MSC 10 5615, Albuquerque, NM 87131

Other Identifiers 1

Other0150866WA · L&i Number

Accepted 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. Peter C. Shin 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 ID9931096864
PECOS Enrollment IDI20140408000133
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.

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.
20 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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 Peter Shin's NPI number?

The NPI number for Peter Shin is 1568522035. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Peter Shin located?

Peter Shin practices at Msc 10 5615 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-3401.

What is Peter Shin's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Peter Shin enrolled in Medicare?

Yes. Peter Shin 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 Peter Shin accept?

Health plans from Blue Cross and Blue Shield of Texas list Peter Shin 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 Peter Shin affiliated with any hospitals?

According to CMS data, Peter Shin is affiliated with Unm Hospital and Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Shin was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.