MRS. JACQUELINE D SHAW MD
NPI 1598758021
Pediatrics in Chattanooga, TN

NPI Status: Active since August 30, 2005

Contact Information

3300 WILCOX BLVD
CHATTANOOGA, TN
ZIP 37411
Phone: (423) 493-2100
Fax: (423) 493-2137

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pediatrics
Accepts Insurance
PECOS Enrolled

About JACQUELINE SHAW

This page provides the complete NPI Profile along with additional information for Jacqueline Shaw, a pediatrician established in Chattanooga, Tennessee with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1598758021 assigned on August 2005. The practitioner's primary taxonomy code is 208000000X with license number 19823 (TN). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI: 1598758021
Provider Name: MRS. JACQUELINE D SHAW MD
Gender: Female
Entity Type: Individual
Location Address: 3300 WILCOX BLVD CHATTANOOGA, TN 37411
Location Phone: (423) 493-2100
Location Fax: (423) 493-2137
Mailing Address: 3300 WILCOX BLVD CHATTANOOGA, TN 37411
Mailing Phone: (423) 493-2100
Mailing Fax: (423) 493-2137
Is Sole Proprietor?: No
Enumeration Date: 08-30-2005
Last Update Date: 10-05-2011
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A pediatrician like Jacqueline Shaw is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: 19823
License State: TN
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Alliant Health Plans, Inc.

SoloCare Bronze EPO HDHP 8050 10004 - EPO
SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
SoloCare Standard Exp Bronze EPO 10008 - EPO
SoloCare Standard Gold EPO 10006 - EPO
SoloCare Standard Platinum EPO 10005 - EPO
SoloCare Standard Silver EPO 10007 - EPO

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO

Cigna Healthcare

Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Bronze 7500 Indiv Med Deductible - EPO
Connect Bronze 8500 Indiv Med Deductible - EPO
Connect Bronze CMS Standard - EPO
Connect Gold CMS Standard - EPO
Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
Connect Silver 2875 Indiv Med Deductible - EPO
Connect Silver 3825 Indiv Med Deductible - EPO
Connect Silver CMS Standard - EPO

UnitedHealthcare

UHC Bronze Copay Focus (No Referrals) - EPO
UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
UHC Bronze Standard (No Referrals) - EPO
UHC Bronze Value (No Referrals) - EPO
UHC Gold Advantage (No Referrals) - EPO
UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
UHC Gold Copay Focus (No Referrals) - EPO
UHC Gold Standard (No Referrals) - EPO
UHC Silver Advantage (No Referrals) - EPO
UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
3050365	MEDICARE ID-TYPE UNSPECIFIED (04)
E89248	MEDICARE UPIN (02)
3050365	MEDICAID (05)	TN

Medicare Participation & PECOS Enrollment Status

Jacqueline 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
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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37411 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $81.53
Minimum New Patient Price $52.64
Maximum New Patient Price $160.89

Average New Patient Copayment $20.38
Minimum New Patient Copayment $13.16
Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $93.6
Minimum Established Patient Price $16.72
Maximum Established Patient Price $131.41

Average Established Patient Copayment $23.4
Minimum Established Patient Copayment $4.18
Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	9	8	7	5	8	0	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	18	8	14	5	16	0	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 5 + 1 + 6 + 0 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1598758021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.