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SHAWN L PRICE MD
NPI 1902023278
Orthopaedic Surgery in Memphis, TN

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
6286 BRIARCREST AVE, MEMPHIS, TN 38120(901) 259-1600(901) 259-1698 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, May 16, 2025, Feb 6, 2025 and 13 more (16 updates tracked since 2016).

About Shawn L Price Md NPPES

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

SHAWN L PRICE MD (NPI 1902023278) is an individual orthopaedic surgery provider in Memphis, Tennessee, licensed in Tennessee (66807) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902023278
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSHAWN L PRICECredential: MD
Location Address6286 BRIARCREST AVEMemphis, TN 38120-4023
Mailing Address6077 Primacy Pkwy Ste 140Memphis, TN 38119-5754 · (901) 725-8347 · Fax (901) 259-7637
Phone(901) 259-1600
Fax(901) 259-1698
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 19, 2007
Last NPPES UpdateOctober 21, 202516 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1902023278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TN · 66807✔ Licensed in KY · 44699✔ Licensed in MS · 30677✔ Licensed in IN · 01069818A
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.
6286 BRIARCREST AVE, Memphis, TN 38120
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Other Identifiers 3

Medicaid7100181080KY
Medicaid201040330IN
MedicaidQ077594TN

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn L Price 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 ID5496948648
PECOS Enrollment IDI20110926000813, I20111025000337, I20221103001105
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 8

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.
92 services11 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.
47 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Bluegrass Community Hospital

Critical Access Hospitals · Versailles, KY
OwnershipProprietary
CMS Certification Number181308
Location360 Amsden AvenueVersailles, KY 40383 · Woodford County
Emergency services

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
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 supplier12 claims12 services$119.41 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.

DAVID GRIFFIN BROWN M.D.
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE, SUITE 200
MEMPHIS, TN 38120
Shelby County (901) 641-3000
CANDACE RAE SPARKS P.T.
Physical Therapist
6286 BRIARCREST AVE, SUITE 110
MEMPHIS, TN 38120
Shelby County (901) 259-1600
THOMAS VINCENT GIEL III M.D.
Orthopaedic Surgery (Sports Medicine)
6286 BRIARCREST AVE, SUITE 200
MEMPHIS, TN 38120
Shelby County (901) 641-3000
SAMUEL E MURRELL III M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6286 BRIARCREST AVE, SUITE 200
MEMPHIS, TN 38120
Shelby County (901) 641-3000
BETTY D MORGAN
Audiologist
6286 BRIARCREST AVE
MEMPHIS, TN 38120
Shelby County (901) 755-5300
DANIEL TRUMAN FLETCHER JR. MD
Orthopaedic Surgery (Hand Surgery)
6286 BRIARCREST AVE, SUTIE 200
MEMPHIS, TN 38120
Shelby County (901) 641-3000
AMANDA MAREE HAMMACK P.T.
Physical Therapist
6286 BRIARCREST AVE, SUITE 110
MEMPHIS, TN 38120
Shelby County (901) 259-1600
LYNN ANNETTE STEGALL PA-C
Physician Assistant (Surgical)
6286 BRIARCREST AVE, SUITE 200
MEMPHIS, TN 38120
Shelby County (901) 259-1600

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 Shawn Price's NPI number?

The NPI number for Shawn Price is 1902023278. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Shawn Price located?

Shawn Price practices at 6286 Briarcrest Ave, Memphis, TN 38120. The listed phone number is (901) 259-1600.

What is Shawn Price's specialty?

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

Is Shawn Price enrolled in Medicare?

Yes. Shawn Price 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 Shawn Price accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shawn Price 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 Shawn Price affiliated with any hospitals?

According to CMS data, Shawn Price is affiliated with Baptist Health Louisville, Bluegrass Community Hospital and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Price was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.