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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Douglas Shields reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
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 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.
Which organizations bill Medicare for Douglas Shields's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Shields reassigns Medicare benefits to 2 organizations: Jefferson Emergency Services, PLLC (Jefferson, NC) and Wake Forest Emergency Providers (Statesville, NC). 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 Douglas Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Douglas A. Shields, M.D. · NPI 1891717815
Emergency Medicine physician in Spruce Pine, North Carolina. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1891717815 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** E4736 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 125 HOSPITAL DR, Spruce Pine, NC 28777-3035
- **Phone:** (828) 765-4201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jefferson Emergency Services, PLLC (NPI 1720495336, Jefferson, NC); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** May 2, 2012
- **Other identifiers:** Other P0029524 (WV); Medicaid 5630460000 (WV); Medicare PIN 5N644 (AR); and 17 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891717815) · Data from the CMS NPPES public registry.