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MARIANNE L SHAW M.D.
NPI 1790785582
Internal Medicine - Rheumatology in Tyrone, PA

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
154 HOSPITAL DR, TYRONE, PA 16686(814) 684-6341(814) 684-6343 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Feb 6, 2017, Jan 3, 2017 (3 updates tracked since 2017).

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

NPI1790785582
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARIANNE L SHAWCredential: M.D.
Location Address154 HOSPITAL DRTyrone, PA 16686
Mailing Address154 Hospital DrTyrone, PA 16686 · (814) 684-6341 · Fax (814) 684-6343
Phone(814) 684-6341
Fax(814) 684-6343
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1993
Enumeration DateJuly 22, 2005
Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1790785582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · MD4238723
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
154 HOSPITAL DR, Tyrone, PA 16686
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Other Identifiers 2

Medicaid1007706880003PA
Other338517PA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

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.

PECOS PAC ID9931174976
PECOS Enrollment IDI20040901000762
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services100 patients

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, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391307
Location187 Hospital DriveTyrone, PA 16686 · Blair County
Emergency services

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

JEREMY P. GORSUCH PA-C
Physician Assistant (Medical)
154 HOSPITAL DR
TYRONE, PA 16686
Blair County (814) 684-6341
MARIA JACQUELINE TOMKOWSKI
Occupational Therapist
154 HOSPITAL DR, SUITE 2
TYRONE, PA 16686
Blair County (814) 684-2133

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.

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, Conemaugh Memorial Medical Center and Penn Highlands Tyrone.

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.