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SHAWN NASEEM
NPI 1972577112
Internal Medicine in Monroeville, PA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
400 OXFORD DR, SUITE 202, MONROEVILLE, PA 15146(412) 380-5040 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Naseem NPPES

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

SHAWN NASEEM (NPI 1972577112) is an individual internal medicine provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD073905L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1972577112
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAWN NASEEM
Location Address400 OXFORD DR, SUITE 202Monroeville, PA 15146-2351
Mailing Address200 Lothrop St, Suite 9055 Forbes TowerPittsburgh, PA 15213-2536
Phone(412) 380-5040
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 6, 2021
✔ NPI 1972577112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD073905L
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.
400 OXFORD DR, Monroeville, PA 15146
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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 Naseem 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 ID6305743139
PECOS Enrollment IDI20031218000400
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 5

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.

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.
254 services106 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services57 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%100 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims26 services$1.23 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$4.36 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,456 services$0.27 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims4,125 services$0.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers18 claims18 services$13.83 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.16 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 12

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

JENNIFER STASKO
Internal Medicine
400 OXFORD DR, SUITE 202
MONROEVILLE, PA 15146
Allegheny County (412) 380-5040
JEANNE W GREEN CRNP
Nurse Practitioner (Family)
400 OXFORD DR, SUITE 201
MONROEVILLE, PA 15146
Allegheny County (412) 374-1441
KENNETH PLOWEY
Internal Medicine
400 OXFORD DR, SUITE 202
MONROEVILLE, PA 15146
Allegheny County (412) 380-5040
HEALTH CENTER ASSOCIATES UPMC
Non-Pharmacy Dispensing Site
400 OXFORD DR, SUITE 201
MONROEVILLE, PA 15146
Allegheny County (412) 823-3461
MRS. WENDY MARIE STEFFL PA
Physician Assistant
400 OXFORD DR, SUITE 102
MONROEVILLE, PA 15146
Allegheny County (412) 374-1441
UPMC COMMUNITY MEDICINE INC
Non-Pharmacy Dispensing Site
400 OXFORD DR, SUITE 202
MONROEVILLE, PA 15146
Allegheny County (412) 380-5040
VERONICA M PRATT MD
Family Medicine
400 OXFORD DR, SUITE 202
MONROEVILLE, PA 15146
Allegheny County (412) 380-5040
HEMATOLOGY ONCOLOGY ASSOCIATION
Durable Medical Equipment & Medical Supplies
400 OXFORD DR, SUITE 102
MONROEVILLE, PA 15146
Allegheny County (412) 856-7110

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 Naseem's NPI number?

The NPI number for Shawn Naseem is 1972577112. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Shawn Naseem located?

Shawn Naseem practices at 400 Oxford Dr Suite 202, Monroeville, PA 15146. The listed phone number is (412) 380-5040.

What is Shawn Naseem's specialty?

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

Is Shawn Naseem enrolled in Medicare?

Yes. Shawn Naseem 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.

Is Shawn Naseem affiliated with any hospitals?

According to CMS data, Shawn Naseem is affiliated with Upmc St Margaret, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside, Forbes Hospital and Upmc East.

When was this NPI record last updated?

The NPPES record for Shawn Naseem was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.