MICHAEL ED SHAW
NPI 1861969412
Physician Assistant in Berlin, VT

Q: What is Michael Shaw's NPI number?

The NPI number for Michael Shaw is 1861969412. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Q: What is Michael Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Shaw was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 31, 2018PECOS Enrolled

130 FISHER RD UNIT 1, BERLIN, VT 05602(802) 371-4264 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2019, Oct 31, 2018 (2 updates tracked since 2018).

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About Michael Ed Shaw NPPES

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

MICHAEL ED SHAW (NPI 1861969412) is an individual physician assistant in Berlin, Vermont, licensed in Vermont (055.0031417) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861969412

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL ED SHAW

Location Address130 FISHER RD UNIT 1Berlin, VT 05602-8132

Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000

Phone(802) 371-4264

Sole ProprietorNo

Enumeration DateOctober 31, 2018

Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1861969412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VT · 055.0031417

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

130 FISHER RD UNIT 1, Berlin, VT 05602

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Secondary Practice Locations 4

Location 1111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-0000

Location 21311 Barre-Montpelier Road, Suite 200Berlin, VT 05602 · Phone (802) 671-4239

Location 3115 Porter DrMiddlebury, VT 05753-8629 · Phone (802) 388-4430

Location 498 Lakeview Ter # 2Burlington, VT 05401-2930 · Phone (802) 343-1377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Ed Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

82 services80 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

58 services56 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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

$85.89 typical visit price

range $55.80 – $168.48

Typical copayment $21.47 (range $13.95 – $42.12)

Most-billed visit code 99203

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

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 19

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

MS. EMILY JOSEPHINE ALFANO APRN

Nurse Practitioner (Family)