DR. TED SHIELDS (D.O.) – Interventional Pain Medicine Physician, NPI 1972666147

DR. TED SHIELDS (D.O.) is a healthcare provider. based in Little rock, Arkansas. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. E3420 (AR). The NPI Number for DR. TED SHIELDS (D.O.) is 1972666147

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. TED SHIELDS (D.O.)
NPI
1972666147
Phone
(501) 346-8116
Address
108 N SHACKLEFORD RD
Enumeration Date
19 December 2006
Last Update Date
27 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709728181
Graduation Year
2001 (25 years ago)
PAC ID
7012800121
Group Practice PAC ID
7012311269
Professional Enrollment ID
I20040203001012
Address ID
AR724059739JO333XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040203001012IEmergency MedicineARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80307Testing for presence of drug, by chemistry analyzers909361$0
99214Established patient office or other outpatient visit, 30-39 minutes652341$0
G0482Drug 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/ms284183$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level8150$0
64494Injection of lower or sacral spine facet joint using imaging guidance, second level8050$0
View full utilization report →

Insurance plans in this area (ZIP 72211)

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Provider's Procedures

DR. TED SHIELDS (D.O.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEAR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report195183

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012311269View full group profile
NameSpecialtyState
U R O L O G YAR
Nurse PractitionerAR
Pulmonary DiseaseAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
N E U R O L O G YCA
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeAR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TED SHIELDS (D.O.)'s NPI?
Yes. DR. TED SHIELDS (D.O.) is listed with NPI 1972666147 in the public NPI dataset.
Does the file indicate DR. TED SHIELDS (D.O.) is practicing under active NPI?
Directory data currently reports DR. TED SHIELDS (D.O.) as active.
What taxonomy line describes DR. TED SHIELDS (D.O.)?
For research purposes, treat DR. TED SHIELDS (D.O.) as Interventional Pain Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. TED SHIELDS (D.O.) based?
DR. TED SHIELDS (D.O.) is tied to Little Rock, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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