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DR. CAITLIN SHEA D.O
NPI 1801183702
Family Medicine in Sandyston, NJ

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
82.01/100
CMS Quality Rating
202 ROUTE 206 N, SUITE A, SANDYSTON, NJ 07826(973) 948-5577(973) 948-0067 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Caitlin Shea D.o NPPES

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

DR. CAITLIN SHEA D.O (NPI 1801183702) is an individual family medicine provider in Sandyston, New Jersey, licensed in New Jersey (25MB09391700) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1801183702
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAITLIN SHEACredential: D.O
Location Address202 ROUTE 206 N, SUITE ASandyston, NJ 07826-5082
Mailing Address532 Lafayette Rd, Suite 300Sparta, NJ 07871-4411 · (973) 940-0423 · Fax (973) 940-0399
Phone(973) 948-5577
Fax(973) 948-0067
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateFebruary 3, 2017
✔ NPI 1801183702 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 NJ · 25MB09391700
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
202 ROUTE 206 N, Sandyston, NJ 07826
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN345126NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Caitlin Shea D.o 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 ID7416173729
PECOS Enrollment IDI20140723000381
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 Reassignment

Medicare enrollment records show Caitlin Shea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Associates LLC
14 mi
Internal Medicine
123 NEWTON SPARTA RD
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
NPI 1043257991 (973) 579-6300

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 12

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.
522 services224 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
404 services241 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
147 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
122 services122 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
122 services122 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
47 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07826 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

82.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.02
Promoting Interoperability85
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

RICK KLATT MSPT
Physical Therapist
202 ROUTE 206 N, SUITE D
SANDYSTON, NJ 07826
Sussex County (973) 948-4857
ANTHONY A DEPAOLA DO
Internal Medicine
202 ROUTE 206 N, SUITE A
BRANCHVILLE, NJ 07826
Sussex County (973) 948-5577
RONALD J LUSZCZ DO
Family Medicine
202 ROUTE 206 N, SUITE A
SANDYSTON, NJ 07826
Sussex County (973) 948-5577

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 Caitlin Shea's NPI number?

The NPI number for Caitlin Shea is 1801183702. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Caitlin Shea located?

Caitlin Shea practices at 202 Route 206 N Suite A, Sandyston, NJ 07826. The listed phone number is (973) 948-5577.

What is Caitlin Shea's specialty?

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

Is Caitlin Shea enrolled in Medicare?

Yes. Caitlin 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 organization bills Medicare for Caitlin Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Shea reassigns Medicare benefits to Premier Health Associates LLC (Newton, NJ). The 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 Caitlin Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Shea accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Caitlin 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 Caitlin Shea affiliated with any hospitals?

According to CMS data, Caitlin Shea is affiliated with Morristown Medical Center, Newton Medical Center and Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Caitlin Shea was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.