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DR. LARRY L SHEARS II MD
NPI 1922035864
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Chattanooga, TN

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
979 E 3RD ST, SUITE C520, CHATTANOOGA, TN 37403(423) 778-5661(423) 778-5664 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry L Shears Ii Md NPPES

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

DR. LARRY L SHEARS II MD (NPI 1922035864) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Chattanooga, Tennessee, licensed in Tennessee (55005) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of West Virginia University School Of Medicine (1991).

NPPES Registry Identity

NPI1922035864
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. LARRY L SHEARS IICredential: MD
Location Address979 E 3RD ST, SUITE C520Chattanooga, TN 37403-2136
Mailing Address975 E 3rd St, Attn: Provider EnrollmentChattanooga, TN 37403-2147 · (423) 778-5661 · Fax (423) 778-5664
Phone(423) 778-5661
Fax(423) 778-5664
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1991
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1922035864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TN · 55005
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 55005 (TN)
979 E 3RD ST, Chattanooga, TN 37403
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Other Identifiers 1

Medicare UPING34830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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

Dr. Larry L Shears Ii 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 ID9931178027
PECOS Enrollment IDI20161006000924
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 7

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.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
39 services38 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
38 services37 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.
34 services34 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.2
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
99%284 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%369 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. JEFFREY W. GEFTER M.D.
Radiology (Radiation Oncology)
979 E 3RD ST, SUITE G-20
CHATTANOOGA, TN 37403
Hamilton County (423) 756-0018
DR. LUIS FELIPE LEMUS MD
Student in an Organized Health Care Education/Training Program
979 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8179
MRS. DANA WENSEL BUTLER
Nurse Practitioner (Family)
979 E 3RD ST, SUITE C 925
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5910
DR. CHANNAPPA CHANDRA M.D.
Orthopaedic Surgery
979 E 3RD ST, SUITE C430
CHATTANOOGA, TN 37403
Hamilton County (423) 624-6584
DR. JASON PAUL REHM MD
Surgery (Plastic and Reconstructive Surgery)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Hamilton County (423) 756-7134
DR. MICHAEL G CARR M.D.
Surgery (Pediatric Surgery)
979 E 3RD ST, STE 300
CHATTANOOGA, TN 37403
Hamilton County (423) 267-0466
DR. CAULEY W HAYES MD
Surgery (Surgery of the Hand)
979 E 3RD ST, SUITE C920
CHATTANOOGA, TN 37403
Hamilton County (423) 756-7134
DR. OLUKAYODE AKINLAJA M.D.
Obstetrics & Gynecology (Obstetrics)
979 E 3RD ST, SUITE C-725
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2580

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 Larry Shears's NPI number?

The NPI number for Larry Shears is 1922035864. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Larry Shears located?

Larry Shears practices at 979 E 3rd St Suite C520, Chattanooga, TN 37403. The listed phone number is (423) 778-5661.

What is Larry Shears's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Larry Shears enrolled in Medicare?

Yes. Larry Shears 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 Larry Shears accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Larry Shears 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 Larry Shears affiliated with any hospitals?

According to CMS data, Larry Shears is affiliated with Hamilton Medical Center, Memorial Healthcare System, Inc, Erlanger Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Larry Shears was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.