EDDIE W SHIELDS (M.D.) – Allergy & Immunology Physician, NPI 1003896630
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
39 ALLERGY/IMMUNOLOGY in AR
Provider Addresses for EDDIE W SHIELDS (M.D.)
400 Salem Rd Ste 4
Conway, AR 720347534
Phone: (501) 329-0237
Fax: (855) 656-7325
Type: Location
9800, Shelbyville Road, Sycamore, Jefferson County, Kentucky, 40223, United States
STE 220
LOUISVILLE, KY 402232992
Phone: (502) 429-8585
Fax: (502) 429-6157
Type: Mailing
5, Executive Center Court, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72211, United States
LITTLE ROCK, AR 722114375
Phone: (501) 227-5210
Fax: (855) 656-7325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $569.
Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($228).
Total Amount
$569
General + Research + Ownership
Payments
14
Total payment records
General Amount
$569
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $228 |
| Phadia US Inc. | $150 |
| AstraZeneca Pharmaceuticals LP | $98 |
| Blueprint Medicines Corporation | $92 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100819001173 | I | Allergy/Immunology | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 3,573 | 54 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 980 | 53 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 683 | 27 | $0 |
| 95117 | Professional service for multiple injections of allergen | 323 | 25 | $0 |
| 95115 | Professional service for single injection of allergen | 203 | 16 | $0 |
Insurance plans in this area (ZIP 72034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | AR | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 400 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | OH | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Allergy/Immunology, Pediatric Medicine | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| Nurse Practitioner | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| A L L E R G Y/ I M M U N O L O G Y | AR | |
| - | KY | |
| A L L E R G Y/ I M M U N O L O G Y | IN |
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