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TRACIE SHAW DPM
NPI 1659948321
Podiatrist - Foot & Ankle Surgery in Chino, CA

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment
5365 WALNUT AVE STE P, CHINO, CA 91710(909) 946-6643 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jun 17, 2021, Jun 9, 2021 (3 updates tracked since 2021).

About Tracie Shaw Dpm NPPES

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

TRACIE SHAW DPM (NPI 1659948321) is an individual foot & ankle surgery provider in Chino, California, licensed in California (E5975) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659948321
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameTRACIE SHAWCredential: DPM
Location Address5365 WALNUT AVE STE PChino, CA 91710-2622
Mailing Address1039 S Indian Summer AveWest Covina, CA 91790-5216 · (626) 660-5239
Phone(909) 946-6643
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1659948321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E5975
5365 WALNUT AVE STE P, Chino, CA 91710
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Tracie Shaw Dpm 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 ID5799125092
PECOS Enrollment IDI20240503001279
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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
87 services78 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
71 services58 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
42 services42 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
38 services34 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
36 services36 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
29 services29 patients

Other Providers at the Same Location NPPES

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

DR. MARC E. LYNCH D.O.
Pain Medicine (Interventional Pain Medicine)
5365 WALNUT AVE STE P
CHINO, CA 91710
San Bernardino County (909) 591-0843

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 Tracie Shaw's NPI number?

The NPI number for Tracie Shaw is 1659948321. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Tracie Shaw located?

Tracie Shaw practices at 5365 Walnut Ave Ste P, Chino, CA 91710. The listed phone number is (909) 946-6643.

What is Tracie Shaw's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tracie Shaw enrolled in Medicare?

Yes. Tracie 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.

When was this NPI record last updated?

The NPPES record for Tracie Shaw was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.