DR. DOUGLAS A. SHIELDS M.D.
NPI 1891717815
Emergency Medicine in Spruce Pine, NC

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
125 HOSPITAL DR, SPRUCE PINE, NC 28777(828) 765-4201 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas A. Shields M.d. NPPES

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

DR. DOUGLAS A. SHIELDS M.D. (NPI 1891717815) is an individual emergency medicine provider in Spruce Pine, North Carolina, licensed in Tennessee (E4736) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Charles A Cannon Jr Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1891717815
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOUGLAS A. SHIELDSCredential: M.D.
Location Address125 HOSPITAL DRSpruce Pine, NC 28777-3035
Mailing AddressPo Box 98Jonas Ridge, NC 28641-0098 · (828) 385-0915
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 2, 2012
NPI 1891717815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · E4736
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
125 HOSPITAL DR, Spruce Pine, NC 28777

Other Identifiers 20

OtherP0029524WV · Medicare Railroad
Medicaid5630460000WV
Medicare PIN5N644AR
Medicare PIN3813511TN
Medicare PIN00W418S46VA
OtherP00384358KY · Medicare Railroad
Medicaid162345001AR
Other50007474KY · Passport Health
Medicaid00125794MS
Medicaid64338304KY
Medicaid204445209MO
Medicare PIN3813512TN
Medicaid3813512TN
OtherP00378743AR · Medicare Railroad
Medicare UPINF75404
Medicaid010210364VA
Medicaid3813511TN
Medicare PINSH4120393WV
Medicare PIN930003199MS
Medicare PIN0954375KY

Accepted 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

Dr. Douglas A. Shields 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 ID5294633657
PECOS Enrollment IDI20100129000199
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 2

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.
50 services49 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.
42 services40 patients

Hospital Affiliations CMS Care Compare

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

Charles A Cannon Jr Memorial Hospital

Critical Access Hospitals · Linville, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341323
Location434 Hospital DriveLinville, NC 28646 · Avery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$101.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Genetic Counselor, MS
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Pediatrics
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Physician Assistant
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Physician Assistant
125 HOSPITAL DR, BLUE RIDGE REGIONAL HOSPITAL
SPRUCE PINE, NC 28777
Nurse Anesthetist, Certified Registered
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Emergency Medicine
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Psychiatry & Neurology (Psychiatry)
125 HOSPITAL DR
SPRUCE PINE, NC 28777
Internal Medicine (Hematology & Oncology)
125 HOSPITAL DR
SPRUCE PINE, NC 28777

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 Douglas Shields's NPI number?

The NPI number for Douglas Shields is 1891717815. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Douglas Shields located?

Douglas Shields practices at 125 Hospital Dr, Spruce Pine, NC 28777. The listed phone number is (828) 765-4201.

What is Douglas Shields's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Shields enrolled in Medicare?

Yes. Douglas Shields 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 Douglas Shields accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Douglas Shields 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 Douglas Shields affiliated with any hospitals?

According to CMS data, Douglas Shields is affiliated with Charles A Cannon Jr Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Shields was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.