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DR. WOLFGANG WILLIAM SHAY DO
NPI 1619961455
Family Medicine in Phoenixville, PA

Active since September 08, 2005PECOS Enrolled
100/100
CMS Quality Rating
1220 VALLEY FORGE RD STE 35, PHOENIXVILLE, PA 19460(610) 933-1688(610) 983-0698 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, Jan 8, 2019, Feb 17, 2016 (3 updates tracked since 2016).

About Dr. Wolfgang William Shay Do NPPES

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

DR. WOLFGANG WILLIAM SHAY DO (NPI 1619961455) is an individual family medicine provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (OS003860L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619961455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WOLFGANG WILLIAM SHAYCredential: DO
Location Address1220 VALLEY FORGE RD STE 35Phoenixville, PA 19460-2676
Mailing Address657 Stamp StPhoenixville, PA 19460-0410 · (610) 842-3070
Phone(610) 933-1688
Fax(610) 983-0698
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1619961455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS003860L
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.

Also ListedAcupuncturistTaxonomy 171100000X · License KO000001L (PA)
1220 VALLEY FORGE RD STE 35, Phoenixville, PA 19460
Open in Google Maps ↗

Other Identifiers 1

Medicaid00680130PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wolfgang William Shay Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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.
147 services86 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.
76 services48 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
35 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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

Other Providers at the Same Location NPPES 2

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

DR. LYNN ELLEN SHAY CPM, CRNP
Nurse Practitioner (Family)
1220 VALLEY FORGE RD STE 35
PHOENIXVILLE, PA 19460
Chester County (610) 933-1688
LISA BRENNER CRNP
Nurse Practitioner (Family)
1220 VALLEY FORGE RD STE 35
PHOENIXVILLE, PA 19460
Chester County (610) 933-1688

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 Wolfgang Shay's NPI number?

The NPI number for Wolfgang Shay is 1619961455. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Wolfgang Shay located?

Wolfgang Shay practices at 1220 Valley Forge Rd Ste 35, Phoenixville, PA 19460. The listed phone number is (610) 933-1688.

What is Wolfgang Shay's specialty?

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

Is Wolfgang Shay enrolled in Medicare?

Yes. Wolfgang Shay is registered in the Medicare PECOS enrollment system.

What insurance does Wolfgang Shay accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Wolfgang Shay 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.

When was this NPI record last updated?

The NPPES record for Wolfgang Shay was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.