MARIANNE L SHAW M.D.
NPI 1790785582
Internal Medicine - Rheumatology in Tyrone, PA
About Marianne L Shaw M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIANNE L SHAW M.D. (NPI 1790785582) is an individual rheumatology provider in Tyrone, Pennsylvania, licensed in Pennsylvania (MD4238723) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Temple University School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Marianne L Shaw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marianne Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- 45 clinicians in this Medicare group
Cresson, PA 16630
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 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
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn Highlands Huntingdon
Acute Care Hospitals · Huntingdon, PAUpmc Altoona
Acute Care Hospitals · Altoona, PAPenn Highlands Dubois
Acute Care Hospitals · Dubois, PAPenn Highlands Tyrone
Critical Access Hospitals · Tyrone, PAPenn Highlands Elk
Critical Access Hospitals · Saint Marys, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marianne Shaw's NPI number?
The NPI number for Marianne Shaw is 1790785582. It was assigned to this individual provider in the NPPES registry on July 22, 2005.
Where is Marianne Shaw located?
Marianne Shaw practices at 154 Hospital Dr, Tyrone, PA 16686. The listed phone number is (814) 684-6341.
What is Marianne Shaw's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Marianne Shaw enrolled in Medicare?
Yes. Marianne 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.
Which organizations bill Medicare for Marianne Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marianne Shaw reassigns Medicare benefits to 2 organizations: J C Blair Memorial Hospital (Altoona, PA) and Dlp Conemaugh Physician Practices LLC (Cresson, PA). 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 Marianne Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marianne Shaw accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marianne Shaw 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 Marianne Shaw affiliated with any hospitals?
According to CMS data, Marianne Shaw is affiliated with Penn Highlands Huntingdon, Upmc Altoona, Penn Highlands Dubois, Penn Highlands Tyrone and Penn Highlands Elk.
When was this NPI record last updated?
The NPPES record for Marianne Shaw was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marianne L Shaw, M.D. · NPI 1790785582
Rheumatology physician in Tyrone, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 22, 2005.
## Identity
- **NPI:** 1790785582 (Entity type: Individual)
- **Enumerated:** July 22, 2005
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** MD4238723 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 154 HOSPITAL DR, Tyrone, PA 16686
- **Phone:** (814) 684-6341 · **Fax:** (814) 684-6343
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): J C Blair Memorial Hospital (NPI 1669217808, Altoona, PA); Dlp Conemaugh Physician Practices LLC (NPI 1740696194, Cresson, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** August 2, 2024
- **Other identifiers:** Medicaid 1007706880003 (PA); Other 338517 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790785582) · Data from the CMS NPPES public registry.