GARY THOMAS SHAW M.D.
NPI 1568542306
Radiology - Vascular & Interventional Radiology in Santa Rosa, CA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
121 SOTOYOME ST, SANTA ROSA, CA 95405(707) 546-4062(707) 525-4097 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Thomas Shaw M.d. NPPES

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

GARY THOMAS SHAW M.D. (NPI 1568542306) is an individual vascular & interventional radiology provider in Santa Rosa, California, licensed in California (G54948) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of University Of Arizona College Of Medicine (1983).

NPPES Registry Identity

NPI1568542306
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameGARY THOMAS SHAWCredential: M.D.
Location Address121 SOTOYOME STSanta Rosa, CA 95405-4823
Mailing AddressPo Box 5651Orange, CA 92863-5651 · (714) 571-5000 · Fax (714) 571-5055
Fax(707) 525-4097
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1983
Enumeration DateOctober 16, 2006
Last NPPES UpdateJune 10, 2014
NPI 1568542306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in CA · G54948
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License G54948 (CA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License G54948 (CA)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License G54948 (CA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License G54948 (CA)
121 SOTOYOME ST, Santa Rosa, CA 95405

Other Identifiers 4

Medicare UPINE45450
Medicare PINCA119055CA
Medicare ID-Type Unspecified00G549480
Medicaid00G549480CA

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

Gary Thomas Shaw 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 ID2567445356
PECOS Enrollment IDI20040611000747
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 58

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
802 services721 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
312 services295 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
236 services229 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
159 services157 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
135 services135 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
121 services85 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Ultrasound)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Diagnostic Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405
Radiology (Vascular & Interventional Radiology)
121 SOTOYOME ST
SANTA ROSA, CA 95405

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 Gary Shaw's NPI number?

The NPI number for Gary Shaw is 1568542306. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Gary Shaw located?

Gary Shaw practices at 121 Sotoyome St, Santa Rosa, CA 95405. The listed phone number is (707) 546-4062.

What is Gary Shaw's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Gary Shaw enrolled in Medicare?

Yes. Gary Shaw 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 Gary Shaw affiliated with any hospitals?

According to CMS data, Gary Shaw is affiliated with Providence St Peter Hospital, Peacehealth Southwest Medical Center and Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Shaw was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.