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THOMAS E SHOCKLEY JR. MD
NPI 1831172568
Orthopaedic Surgery in Norwood, OH

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4600 SMITH RD, SUITE B, NORWOOD, OH 45212(513) 221-4848(513) 872-7825 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas E Shockley Jr. Md NPPES

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

THOMAS E SHOCKLEY JR. MD (NPI 1831172568) is an individual orthopaedic surgery provider in Norwood, Ohio, licensed in Ohio (35064461) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1986).

NPPES Registry Identity

NPI1831172568
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS E SHOCKLEY JR.Credential: MD
Location Address4600 SMITH RD, SUITE BNorwood, OH 45212-2793
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3359 · (513) 853-4749 · Fax (513) 853-4740
Phone(513) 221-4848
Fax(513) 872-7825
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1986
Enumeration DateNovember 28, 2005
Last NPPES UpdateOctober 19, 2017
✔ NPI 1831172568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OH · 35064461
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 35064461 (OH)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 35064461 (OH)
4600 SMITH RD, Norwood, OH 45212
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF47343
Medicare ID-Type UnspecifiedSL0729914OH
Medicaid200018244OH

Accepted Insurance

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

Thomas E Shockley Jr. Md 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 ID7416983937
PECOS Enrollment IDI20050801000285
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

2

Medicare enrollment records show Thomas Shockley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth G LLC
3.9 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000
Trihealth H LLC
3.9 mi
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400

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 4

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
160 services16 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.
41 services28 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
32 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%177 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%263 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%282 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

ESTHER LAUTZ OD
Optometrist
4600 SMITH RD
NORWOOD, OH 45212
Hamilton County (513) 631-8889
AEG OHIO PROFESSIONAL PC
Optometrist
4600 SMITH RD
NORWOOD, OH 45212
Hamilton County (513) 631-8889
STEVEN REED MD
Radiology (Diagnostic Radiology)
4600 SMITH RD, SUITE A4
NORWOOD, OH 45212
Hamilton County (513) 351-2494
HAIM COHEN DPM
Podiatrist (Sports Medicine)
4600 SMITH RD, STE B
NORWOOD, OH 45212
Hamilton County (513) 221-4848
TRIHEALTH OS, LLC
Orthopaedic Surgery
4600 SMITH RD, SUITE B
NORWOOD, OH 45212
Hamilton County (513) 791-6611
DR. DAVID N LASSE OPTOMETRIST INC
Optometrist
4600 SMITH RD, GRANDE CENTRAL STATION
NORWOOD, OH 45212
Hamilton County (513) 631-8889
DR. DAVID NOEL LASSE O.D.
Optometrist
4600 SMITH RD
NORWOOD, OH 45212
Hamilton County (513) 631-8889
CLYDE E HENDERSON MD
Orthopaedic Surgery
4600 SMITH RD, SUITE B
NORWOOD, OH 45212
Hamilton County (513) 221-4848

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 Thomas Shockley's NPI number?

The NPI number for Thomas Shockley is 1831172568. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Thomas Shockley located?

Thomas Shockley practices at 4600 Smith Rd Suite B, Norwood, OH 45212. The listed phone number is (513) 221-4848.

What is Thomas Shockley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Shockley enrolled in Medicare?

Yes. Thomas Shockley 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 Thomas Shockley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Shockley reassigns Medicare benefits to 2 organizations: Trihealth G LLC (Cincinnati, OH) and Trihealth H LLC (Cincinnati, OH). 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 Thomas Shockley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Shockley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Shockley 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 Thomas Shockley was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.