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DR. SEAN SHIEH M.D.
NPI 1609125038
Internal Medicine in Baltimore, MD

Active since August 30, 2012PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
5601 LOCH RAVEN BLVD # 500, BALTIMORE, MD 21239(443) 444-4818(443) 444-4331 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 11, 2017, Feb 4, 2016 (3 updates tracked since 2016).

About Dr. Sean Shieh M.d. NPPES

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

DR. SEAN SHIEH M.D. (NPI 1609125038) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D079766) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609125038
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEAN SHIEHCredential: M.D.
Location Address5601 LOCH RAVEN BLVD # 500Baltimore, MD 21239-2945
Mailing Address5601 Loch Raven Blvd # 500Baltimore, MD 21239-2945 · (443) 444-4818 · Fax (443) 444-4331
Phone(443) 444-4818
Fax(443) 444-4331
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 30, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1609125038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D079766
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5601 LOCH RAVEN BLVD # 500, Baltimore, MD 21239
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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

Dr. Sean Shieh 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 ID4284940172
PECOS Enrollment IDI20150909001304
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
299 services86 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
176 services87 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210056
Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims20 services$4.29 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$7.70 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers12 claims840 services$1.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims78 services$1.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$4.13 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers27 claims29 services$29.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sean Shieh's NPI number?

The NPI number for Sean Shieh is 1609125038. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Sean Shieh located?

Sean Shieh practices at 5601 Loch Raven Blvd # 500, Baltimore, MD 21239. The listed phone number is (443) 444-4818.

What is Sean Shieh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sean Shieh enrolled in Medicare?

Yes. Sean Shieh 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 Sean Shieh affiliated with any hospitals?

According to CMS data, Sean Shieh is affiliated with Medstar Union Memorial Hospital and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Sean Shieh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.