MR. SHANE THOMAS REILLY PA-C
NPI 1972010429
Physician Assistant in South Weymouth, MA

Active since January 05, 2018PECOS Enrolled
82.78/100
CMS Quality Rating
55 FOGG RD, SOUTH WEYMOUTH, MA 02190(781) 624-8000 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2023, Sep 7, 2021, Sep 28, 2020 and 2 more (5 updates tracked since 2018).

About Mr. Shane Thomas Reilly Pa-c NPPES

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

MR. SHANE THOMAS REILLY PA-C (NPI 1972010429) is an individual physician assistant in South Weymouth, Massachusetts and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972010429
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SHANE THOMAS REILLYCredential: PA-C
Location Address55 FOGG RDSouth Weymouth, MA 02190-2455
Mailing Address55 Fogg RdSouth Weymouth, MA 02190-2455 · (781) 624-8000
Sole ProprietorNo
Enumeration DateJanuary 5, 2018
Last NPPES UpdateMay 22, 20235 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1972010429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

55 FOGG RD, South Weymouth, MA 02190

Secondary Practice Locations 3

Location 1485 Granite StBraintree, MA 02184 · Phone (781) 848-2273
Location 2103 Providence HwyEast Walpole, MA 02032-1512 · Phone (781) 255-0500 · Fax (781) 255-0400
Location 3143 Longwater DrNorwell, MA 02061-1683 · Phone (781) 878-5200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Shane Thomas Reilly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
166 services166 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

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.

Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Radiology (Diagnostic Radiology)
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
WEYMOUTH, MA 02190
Dietitian, Registered
55 FOGG RD
SOUTH WEYMOUTH, MA 02190
Nurse Practitioner (Psychiatric/Mental Health)
55 FOGG RD
WEYMOUTH, MA 02190
Pediatrics
55 FOGG RD
S WEYMOUTH, MA 02190
Social Worker (Clinical)
55 FOGG RD
WEYMOUTH, MA 02190
Student in an Organized Health Care Education/Training Program
55 FOGG RD
SOUTH WEYMOUTH, MA 02190

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 Shane Reilly's NPI number?

The NPI number for Shane Reilly is 1972010429. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Shane Reilly located?

Shane Reilly practices at 55 Fogg Rd, South Weymouth, MA 02190. The listed phone number is (781) 624-8000.

What is Shane Reilly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shane Reilly enrolled in Medicare?

Yes. Shane Reilly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Reilly was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.