JEREMIAH J SHAW MD
NPI 1619439403
Family Medicine in Monona, WI

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
1050 E BROADWAY, MONONA, WI 53716(608) 287-5899(608) 251-2332 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Aug 29, 2022, Nov 8, 2019 and 1 more (4 updates tracked since 2019).

About Jeremiah J Shaw Md NPPES

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

JEREMIAH J SHAW MD (NPI 1619439403) is an individual family medicine provider in Monona, Wisconsin, licensed in Wisconsin (74863-20) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619439403
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEREMIAH J SHAWCredential: MD
Location Address1050 E BROADWAYMonona, WI 53716-4023
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 251-2332
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1619439403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 74863-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1050 E BROADWAY, Monona, WI 53716

Secondary Practice Locations 2

Location 11102 S Park StMadison, WI 53715-1708 · Phone (608) 263-3111
Location 2621 Science DrMadison, WI 53711-1074 · Phone (608) 262-9355 · Fax (608) 263-2215

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

Jeremiah J Shaw Md 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 ID3375877558
PECOS Enrollment IDI20220817003374
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 8

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 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.
128 services122 patients
Osteopathic manipulative treatment, 1-2 body regions 98925
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.
36 services23 patients
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.
33 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services21 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
16 services15 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 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Physician Assistant (Medical)
1050 E BROADWAY
MONONA, WI 53716
Counselor (Professional)
1050 E BROADWAY
MONONA, WI 53716
Physical Therapist
1050 E BROADWAY
MONONA, WI 53716
Family Medicine
1050 E BROADWAY
MONONA, WI 53716
Physician Assistant (Medical)
1050 E BROADWAY
MONONA, WI 53716
Family Medicine
1050 E BROADWAY
MONONA, WI 53716

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 Jeremiah Shaw's NPI number?

The NPI number for Jeremiah Shaw is 1619439403. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Jeremiah Shaw located?

Jeremiah Shaw practices at 1050 E Broadway, Monona, WI 53716. The listed phone number is (608) 287-5899.

What is Jeremiah Shaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jeremiah Shaw enrolled in Medicare?

Yes. Jeremiah 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.

What insurance does Jeremiah Shaw accept?

Health plans from Aspirus Health Plan, Group Health Cooperative-SCW and HealthPartners list Jeremiah Shaw 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 Jeremiah Shaw affiliated with any hospitals?

According to CMS data, Jeremiah Shaw is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Jeremiah Shaw was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.