DR. DOUGLAS A. SHIELDS M.D.
NPI 1891717815
Emergency Medicine in Spruce Pine, NC
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
Specialties & Licenses
Other Identifiers 20
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.
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.
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, NCPhysician 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.
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.
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.
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.
SPRUCE PINE, NC 28777
SPRUCE PINE, NC 28777
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.