MR. NICHOLAS JOHN SHEA MD, MS
NPI 1790149086
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Stamford, CT

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
50.39/100
CMS Quality Rating
1 HOSPITAL PLZ FL 2, STAMFORD, CT 06902(203) 276-4440(203) 276-4401 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Nov 12, 2024, Sep 1, 2020 (3 updates tracked since 2020).

About Mr. Nicholas John Shea Md, Ms NPPES

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

MR. NICHOLAS JOHN SHEA MD, MS (NPI 1790149086) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Stamford, Connecticut, licensed in Connecticut (79300) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Columbia University College Of Physicians And Surgeons (2016).

NPPES Registry Identity

NPI1790149086
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMR. NICHOLAS JOHN SHEACredential: MD, MS
Location Address1 HOSPITAL PLZ FL 2Stamford, CT 06902-3602
Mailing Address1 Hospital Plz Fl 2Stamford, CT 06902-3602 · (203) 276-4440 · Fax (203) 276-4401
Fax(203) 276-4401
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateFebruary 11, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1790149086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in CT · 79300✔ Licensed in NY · 295509
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 295509 (NY)
1 HOSPITAL PLZ FL 2, Stamford, CT 06902

Secondary Practice Location 1

Location 1177 Fort Washington Ave, 7-435New York, NY 10032-3733 · Phone (212) 304-7810

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas John Shea Md, Ms 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 ID2365789815
PECOS Enrollment IDI20241120003419, I20250114003290
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicholas Shea reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
100 MADISON AVE, GAGNON LEVEL C
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
116 services116 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
101 services101 patients
Surgical removal of piece of sac covering heart for drainage 33025
This procedure involves removing a portion of the sac around your heart to allow fluid to drain. It's done to relieve pressure that can affect your heart's function. It's a surgical process performed under general anesthesia.
54 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services53 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
46 services46 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

50.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost63.82

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 Nicholas Shea's NPI number?

The NPI number for Nicholas Shea is 1790149086. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Nicholas Shea located?

Nicholas Shea practices at 1 Hospital Plz Fl 2, Stamford, CT 06902. The listed phone number is (203) 276-4440.

What is Nicholas Shea's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Nicholas Shea enrolled in Medicare?

Yes. Nicholas 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.

Which organizations bill Medicare for Nicholas Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Shea reassigns Medicare benefits to 4 organizations: Stamford Health Medical Group Inc (Stamford, CT), Trustees Of Columbia University In The City Of New York (New York, NY), Mid-Atlantic Surgical Assoc. (Morristown, NJ) and Practice Associates Medical Group (Morristown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Shea accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Nicholas 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 Nicholas Shea was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.