PETER E SHIN (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1083754261
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,791 EMERGENCY MEDICINE in CA
Provider Addresses for PETER E SHIN (M.D.)
1509 WILSON TER
EMERGENCY DEPT. - GLENDALE ADVENTIST MEDICAL CENTER
GLENDALE, CA 912064007
Phone: (818) 409-8000
Type: Location
416 E BROADWAY
#311
GLENDALE, CA 912051047
Phone: (818) 396-4383
Fax: (818) 396-4383
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $359.
Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($119).
Total Amount
$359
General + Research + Ownership
Payments
13
Total payment records
General Amount
$359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $119 |
| iRhythm Technologies, Inc. | $75 |
| ABBVIE INC. | $58 |
| Indivior Inc. | $30 |
| Neurocrine BioSciences Inc. | $30 |
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: 2009-07-22
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 |
|---|---|---|---|---|
| I20090722000263 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 367 | 361 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 111 | 108 | $0 |
| 99291 | Critical care, first 30-74 minutes | 100 | 100 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 28 | 28 | $0 |
Insurance plans in this area (ZIP 91206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA |
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