DR. JEREMY SHAW (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1154526192

DR. JEREMY SHAW (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 75371 (GA). The NPI Number for DR. JEREMY SHAW (M.D.) is 1154526192

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMY SHAW (M.D.)
NPI
1154526192
Phone
(303) 338-4545
Address
10350 E Dakota Ave
Enumeration Date
19 June 2007
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3103255111
Graduation Year
2006 (20 years ago)
PAC ID
4981738606
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20110912000088
Address ID
CA907103518HA25825AVEX300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Other namesUpdated within 12 months

396 OPHTHALMOLOGY in CO

Provider Addresses for DR. JEREMY SHAW (M.D.)

  • 10350 E Dakota Ave

    Denver, CO 802471314

    Phone: (303) 338-4545

    Type: Location

  • DUKE EYE CENTER DUMC 3802

    DURHAM, NC 277100001

    Phone: (919) 684-3316

    Type: Location

  • Vermont Avenue, South Los Angeles, Harbor Gateway, Los Angeles, Los Angeles County, California, 90047-4899, United States

    HARBOR CITY, CA 907103518

    Phone: (424) 328-2717

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($122).

Total Amount

$174

General + Research + Ownership

Payments

2

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20110912000088IOphthalmologyCATBD
I20180918000326IOphthalmologyCOTBD
I20210108000822IOphthalmologyGATBD
I20251125003393IOphthalmologyHITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80247)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Does DR. JEREMY SHAW (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JEREMY SHAW (M.D.) uses 1154526192.
Is DR. JEREMY SHAW (M.D.) listed as active for patients and plans?
The listing shows DR. JEREMY SHAW (M.D.) as active in the NPI system.
What taxonomy line describes DR. JEREMY SHAW (M.D.)?
For research purposes, treat DR. JEREMY SHAW (M.D.) as Retina Specialist (Ophthalmology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JEREMY SHAW (M.D.)?
DR. JEREMY SHAW (M.D.)'s geographic hint is Denver, Colorado in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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