MICHAEL LEIGH SHEA MD
NPI 1659530178
Internal Medicine - Cardiovascular Disease in Dover, DE

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
1113 S STATE ST, SUITE 100, DOVER, DE 19901(302) 734-7676(302) 734-7615 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Leigh Shea Md NPPES

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

MICHAEL LEIGH SHEA MD (NPI 1659530178) is an individual cardiovascular disease provider in Dover, Delaware, licensed in Delaware (C1-0009461) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2003).

NPPES Registry Identity

NPI1659530178
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL LEIGH SHEACredential: MD
Location Address1113 S STATE ST, SUITE 100Dover, DE 19901-4112
Mailing Address1113 S State St, Suite 100Dover, DE 19901-4112 · (302) 734-7676 · Fax (302) 734-7615
Fax(302) 734-7615
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2003
Enumeration DateJune 9, 2008
Last NPPES UpdateApril 7, 2015
NPI 1659530178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in DE · C1-0009461 Licensed in NY · 244549
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1113 S STATE ST, Dover, DE 19901

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

Michael Leigh Shea 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 ID8921288895
PECOS Enrollment IDI20110209000763
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 24

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 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,767 services886 patients
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.
1,393 services774 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
619 services44 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
476 services119 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.
412 services285 patients
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.
325 services273 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier14 claims14 services$2,171.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology
1113 S STATE ST
DOVER, DE 19901
Internal Medicine (Cardiovascular Disease)
1113 S STATE ST, SUITE 100
DOVER, DE 19901
Physician Assistant (Medical)
1113 S STATE ST
DOVER, DE 19901
Internal Medicine (Clinical Cardiac Electrophysiology)
1113 S STATE ST, SUITE 100
DOVER, DE 19901
Internal Medicine (Cardiovascular Disease)
1113 S STATE ST, SUITE 100
DOVER, DE 19901
Physician Assistant (Medical)
1113 S STATE ST
DOVER, DE 19901
Nurse Practitioner (Family)
1113 S STATE ST
DOVER, DE 19901

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 Michael Shea's NPI number?

The NPI number for Michael Shea is 1659530178. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Michael Shea located?

Michael Shea practices at 1113 S State St Suite 100, Dover, DE 19901. The listed phone number is (302) 734-7676.

What is Michael Shea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Shea enrolled in Medicare?

Yes. Michael Shea 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 Michael Shea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Michael Shea 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 Michael Shea was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.