DR. TED SHIELDS (D.O.) – Interventional Pain Medicine Physician, NPI 1972666147
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
557 EMERGENCY MEDICINE in AR
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Provider Addresses for DR. TED SHIELDS (D.O.)
108 N SHACKLEFORD RD
LITTLE ROCK, AR 722112840
Phone: (501) 346-8116
Type: Mailing
White River Medical Center, 1710, Harrison Street, College Heights Addition, Batesville, Independence County, Arkansas, 72501, United States
BATESVILLE, AR 725017303
Phone: (870) 262-1200
Fax: (870) 262-6088
Type: Mailing
1710, Mayfield Drive, Jonesboro, Craighead County, Arkansas, 72401, United States
JONESBORO, AR 72401
Phone: (844) 215-0731
Fax: (888) 630-8885
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,094.
Total Amount is formed as General ($1,094) + Research ($0) + Ownership ($0) = $1,094.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($444).
Total Amount
$1,094
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,094
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-03
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 |
|---|---|---|---|---|
| I20040203001012 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 909 | 361 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 652 | 341 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 284 | 183 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 81 | 50 | $0 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 80 | 50 | $0 |
Insurance plans in this area (ZIP 72211)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | AR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 195 | 183 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| Pulmonary Disease | AR | |
| Family Practice | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| N E U R O L O G Y | CA | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR |
Reviews
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