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BRIAN R. SHAW D.O.
NPI 1578890570
Internal Medicine - Interventional Cardiology in Ithaca, NY

Active since November 11, 2009PECOS EnrolledAccepts Medicare Assignment
201 DATES DR STE 101, ITHACA, NY 14850(215) 840-6142 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2021, Dec 17, 2020, Oct 19, 2020 and 1 more (4 updates tracked since 2020).

About Brian R. Shaw D.o. NPPES

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

BRIAN R. SHAW D.O. (NPI 1578890570) is an individual interventional cardiology provider in Ithaca, New York, licensed in New York (310717-01) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Philadelphia College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1578890570
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameBRIAN R. SHAWCredential: D.O.
Location Address201 DATES DR STE 101Ithaca, NY 14850-1345
Mailing Address201 Dates Dr Ste 101Ithaca, NY 14850-1345 · (607) 272-0460
Phone(215) 840-6142
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2008
Enumeration DateNovember 11, 2009
Last NPPES UpdateMarch 19, 20244 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1578890570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NY · 310717-01
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS015512 (PA), OT012650 (PA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 310717-01 (NY), 25MB08946200 (NJ)
201 DATES DR STE 101, Ithaca, NY 14850
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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

Brian R. Shaw D.o. 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 ID1052551934
PECOS Enrollment IDI20210727000347
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 7

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.

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.
128 services90 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
53 services50 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
31 services31 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
21 services21 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Schuyler Hospital

Critical Access Hospitals · Montour Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331313
Location220 Steuben StreetMontour Falls, NY 14865 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

LAVANYA KODALI M.D
Internal Medicine (Pulmonary Disease)
201 DATES DR STE 101
ITHACA, NY 14850
Tompkins County (607) 882-2277

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 Brian Shaw's NPI number?

The NPI number for Brian Shaw is 1578890570. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Brian Shaw located?

Brian Shaw practices at 201 Dates Dr Ste 101, Ithaca, NY 14850. The listed phone number is (215) 840-6142.

What is Brian Shaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Brian Shaw enrolled in Medicare?

Yes. Brian 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 Brian Shaw affiliated with any hospitals?

According to CMS data, Brian Shaw is affiliated with Cayuga Medical Center At Ithaca and Schuyler Hospital.

When was this NPI record last updated?

The NPPES record for Brian Shaw was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.