TONYA E SHEA DO
NPI 1740674522
Family Medicine in Somerset, KY

Q: What is Tonya Shea's NPI number?

The NPI number for Tonya Shea is 1740674522. It was assigned to this individual provider in the NPPES registry on March 19, 2015. The provider is also known as Tonya E Morgan.

Q: What is Tonya Shea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tonya Shea was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 19, 2015PECOS Enrolled

350 HOSPITAL WAY, SUITE 101, SOMERSET, KY 42503(606) 451-5092 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Tonya E Shea Do NPPES

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

TONYA E SHEA DO (NPI 1740674522) is an individual family medicine provider in Somerset, Kentucky, licensed in Kentucky (04164) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1740674522

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTONYA E SHEACredential: DO

Location Address350 HOSPITAL WAY, SUITE 101Somerset, KY 42503

Mailing Address350 Hospital Way, Ste 100Somerset, KY 42503-1872

Phone(606) 451-5092

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2015

Enumeration DateMarch 19, 2015

Last NPPES UpdateSeptember 7, 2018

✔ NPI 1740674522 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 KY · 04164

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

350 HOSPITAL WAY, Somerset, KY 42503

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Other Names 1

Former Name (1)Tonya E Morgan

Secondary Practice Location 1

Location 1350 Hospital Way Ste 100Somerset, KY 42503-1872 · Phone (606) 451-2600 · Fax (606) 451-2622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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)

Tonya E Shea Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941588578

PECOS Enrollment IDI20181005002129

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

145 services55 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.

80 services74 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

46 services44 patients

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.

36 services21 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181321

Location166 Hospital StreetMonticello, KY 42633 · Wayne County

Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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

8 suppliers26 claims63 services$6.46 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers18 claims18 services$64.97 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims16 services$19.99 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers23 claims23 services$7.92 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier13 claims13 services$34.92 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers39 claims39 services$116.19 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 20

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

DR. AMR OSMAN EL-NAGGAR M.D.

Neurological Surgery

350 HOSPITAL WAY, SUITE 270
SOMERSET, KY 42503

Pulaski County (606) 678-9617

MR. RAINER ALLEN OLIVER DO

Internal Medicine

350 HOSPITAL WAY, SUITE 101
SOMERSET, KY 42503

Pulaski County (606) 451-5093

DAVID M REILLY M.D.

Family Medicine

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2601

JOSEPH G WEIGEL M.D.

Internal Medicine

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2629

MISS SUSAN MICHELE PELL ATC, PA-C

Physician Assistant

350 HOSPITAL WAY, SUITE 100
SOMERSET, KY 42503

Pulaski County (606) 451-2628

LAKE CUMBERLAND REGIONAL HOSPITAL, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

350 HOSPITAL WAY, SUITE 220
SOMERSET, KY 42503

Pulaski County (606) 451-0300

LAKE CUMBERLAND REGIONAL HOSPITAL LLC

Internal Medicine (Pulmonary Disease)

350 HOSPITAL WAY, SUITE 250
SOMERSET, KY 42503

Pulaski County (606) 678-0171

RICHARD F ATKINSON

Student in an Organized Health Care Education/Training Program

350 HOSPITAL WAY
SOMERSET, KY 42503

Pulaski County (630) 291-6874

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 Tonya Shea's NPI number?

The NPI number for Tonya Shea is 1740674522. It was assigned to this individual provider in the NPPES registry on March 19, 2015. The provider is also known as Tonya E Morgan.

Where is Tonya Shea located?

Tonya Shea practices at 350 Hospital Way Suite 101, Somerset, KY 42503. The listed phone number is (606) 451-5092.

What is Tonya Shea's specialty?

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

Is Tonya Shea enrolled in Medicare?

Yes. Tonya Shea is registered in the Medicare PECOS enrollment system.

What insurance does Tonya Shea accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Tonya 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.

Is Tonya Shea affiliated with any hospitals?

According to CMS data, Tonya Shea is affiliated with T J Samson Community Hospital, Wayne County Hospital and Russell County Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Shea was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.