DR. BRIAN JOSEPH SHEA M.D.
NPI 1790197655
Surgery in Celina, TX

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
1530 S DALLAS PKWY STE 116, CELINA, TX 75009(972) 439-3753(972) 439-3754 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2025, Jul 27, 2020, Jun 4, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Brian Joseph Shea M.d. NPPES

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

DR. BRIAN JOSEPH SHEA M.D. (NPI 1790197655) is an individual surgery provider in Celina, Texas, licensed in Texas (U3651) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Methodist Mckinney Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790197655
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRIAN JOSEPH SHEACredential: M.D.
Location Address1530 S DALLAS PKWY STE 116Celina, TX 75009-4297
Mailing Address1530 S Dallas Pkwy Ste 116Celina, TX 75009-4297 · (972) 439-3753 · Fax (972) 439-3754
Fax(972) 439-3754
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateJune 2, 20254 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1790197655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · U3651
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1530 S DALLAS PKWY STE 116, Celina, TX 75009

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

Dr. Brian Joseph Shea M.d. 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 ID5597091488
PECOS Enrollment IDI20240612001146
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

3

Medicare enrollment records show Brian Shea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
8080 STATE HIGHWAY 121 STE 120
Mckinney, TX 75070
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Family Medicine
1441 N BECKLEY AVE
Dallas, TX 75203
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
Internal Medicine
3024 BUSINESS PARK CIR
Goodlettsville, TN 37072
  • Reassigned Medicare billing, Tennessee enrollment
  • 734 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.

Hospital Affiliations CMS Care Compare

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

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75009 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Gastroenterology)
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Surgery
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Internal Medicine (Interventional Cardiology)
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Obstetrics & Gynecology
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Obstetrics & Gynecology
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Physician Assistant (Surgical)
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Surgery
1530 S DALLAS PKWY STE 116
CELINA, TX 75009
Obstetrics & Gynecology
1530 S DALLAS PKWY STE 116
CELINA, TX 75009

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 Brian Shea's NPI number?

The NPI number for Brian Shea is 1790197655. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Brian Shea located?

Brian Shea practices at 1530 S Dallas Pkwy Ste 116, Celina, TX 75009. The listed phone number is (972) 439-3753.

What is Brian Shea's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brian Shea enrolled in Medicare?

Yes. Brian 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 Brian Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Shea reassigns Medicare benefits to 3 organizations: Sab Medical PLLC (Mckinney, TX), Medhealth (Dallas, TX) and Advanced Diagnostic Imaging, PC (Goodlettsville, TN). 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 Brian Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Shea accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 12 other insurers list Brian 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 Brian Shea affiliated with any hospitals?

According to CMS data, Brian Shea is affiliated with Methodist Mckinney Hospital.

When was this NPI record last updated?

The NPPES record for Brian Shea was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.