AARON M. SHUPP (M.D.) – Family Medicine Physician, NPI 1194164806

AARON M. SHUPP (M.D.) is a healthcare provider. based in Pueblo, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. TL.0004839 (CO). The NPI Number for AARON M. SHUPP (M.D.) is 1194164806

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
AARON M. SHUPP (M.D.)
NPI
1194164806
Phone
(719) 557-5872
Address
1008 MINNEQUA AVE
Enumeration Date
17 June 2013
Last Update Date
17 June 2013

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
3034296600
Graduation Year
2013 (13 years ago)
PAC ID
5496049587
Group Practice PAC ID
3779471677
Professional Enrollment ID
I20170502000781
Address ID
CO800313304WE3520XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for AARON M. SHUPP (M.D.)

  • 1008 MINNEQUA AVE

    SUITE #1124

    PUEBLO, CO 810043733

    Phone: (719) 557-5872

    Fax: (719) 557-4780

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 142 Open Payments records for all available years, with a total value of $2,812.

Total Amount is formed as General ($2,812) + Research ($0) + Ownership ($0) = $2,812.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($583).

Total Amount

$2,812

General + Research + Ownership

Payments

142

Total payment records

General Amount

$2,812

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-05-02

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
I20170502000781IFamily PracticeCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13376$0
99215Established patient office or other outpatient visit, 40-54 minutes4931$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
G0008Administration of influenza virus vaccine2118$0
83036Hemoglobin a1c level2011$0
View full utilization report →

Insurance plans in this area (ZIP 81004)

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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: 3779471677View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
Internal MedicineCO
Family PracticeCO
Clinical Social WorkerCO
Physician AssistantCO

Reviews

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Frequently asked questions

What federal number belongs to AARON M. SHUPP (M.D.)?
The federal identifier for AARON M. SHUPP (M.D.) is NPI 1194164806.
Is AARON M. SHUPP (M.D.) currently active in the NPI registry?
CMS-published data lists AARON M. SHUPP (M.D.) as an active registrant.
What kind of provider is AARON M. SHUPP (M.D.)?
The page reflects Family Medicine Physician for AARON M. SHUPP (M.D.). Clinical services aligned with this taxonomy classification.
Where is AARON M. SHUPP (M.D.)'s primary listing?
We display Pueblo, Colorado because that is what the record indicates for AARON M. SHUPP (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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