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TANNA MARIE SHAW MD
NPI 1962430363
Internal Medicine in Edmond, OK

Active since June 28, 2006Opted out of Medicare · through Nov 13, 2026
27.77/100
CMS Quality Rating
15318 N MAY AVE STE B, EDMOND, OK 73013(405) 970-8020(405) 970-8025 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Feb 12, 2018, Jan 25, 2016 (3 updates tracked since 2016).

About Tanna Marie Shaw Md NPPES

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

TANNA MARIE SHAW MD (NPI 1962430363) is an individual internal medicine provider in Edmond, Oklahoma, licensed in Oklahoma (220758) and active in the NPI registry since June 2006. She has opted out of Medicare through November 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962430363
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTANNA MARIE SHAWCredential: MD
Location Address15318 N MAY AVE STE BEdmond, OK 73013-8864
Mailing Address15318 N May Ave Ste BEdmond, OK 73013-8864 · (405) 970-8020 · Fax (405) 970-8020
Phone(405) 970-8020
Fax(405) 970-8025
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1962430363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 220758
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15318 N MAY AVE STE B, Edmond, OK 73013
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Other Names 1

Former Name (1)Tanna Shaw Leibold Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tanna Marie Shaw Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 13, 2022 through November 13, 2026.

Opt-Out Effective DateNovember 13, 2022
Opt-Out In Effect ThroughNovember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

27.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality22.99
Promoting Interoperability0
Improvement Activities20
Cost44.57

Referred Medical Equipment & Supplies CMS DME claims 3

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
3 suppliers57 claims60 services$18.13 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
4 suppliers73 claims76 services$97.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.56 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 2

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

PHP OK PC
Family Medicine
15318 N MAY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 960-8020
NATHAN BLAKE JOHN MD
Family Medicine
15318 N MAY AVE STE B
EDMOND, OK 73013
Oklahoma County (405) 970-8020

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 Tanna Shaw's NPI number?

The NPI number for Tanna Shaw is 1962430363. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Tanna Shaw Leibold MD.

Where is Tanna Shaw located?

Tanna Shaw practices at 15318 N May Ave Ste B, Edmond, OK 73013. The listed phone number is (405) 970-8020.

What is Tanna Shaw's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tanna Shaw enrolled in Medicare?

No. Tanna Shaw has opted out of Medicare through November 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tanna Shaw accept?

Health plans from Medica and Mending Health list Tanna Shaw 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.

When was this NPI record last updated?

The NPPES record for Tanna Shaw was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.