DR. DEREK S SHIA (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1861600165
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
466 ORTHOPEDIC SURGERY in CT
Provider Addresses for DR. DEREK S SHIA (MD)
469 W Main St
Branford, CT 064053400
Phone: (203) 865-6784
Fax: (203) 865-6788
Type: Location
9 WASHINGTON AVE FL 1A
HAMDEN, CT 065183267
Phone: (203) 865-6784
Fax: (203) 865-6788
Type: Location
9, Washington Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States
HAMDEN, CT 065183267
Phone: (203) 865-6784
Fax: (203) 865-6788
Type: Mailing
30 Commerce Park
Milford, CT 064603551
Phone: (203) 865-6784
Fax: (203) 865-6788
Type: Location
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 626-0160
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,063.
Total Amount is formed as General ($1,063) + Research ($0) + Ownership ($0) = $1,063.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: MEDACTA USA, INC. ($547).
Total Amount
$1,063
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MEDACTA USA, INC. | $547 |
| DePuy Synthes Sales Inc. | $154 |
| Zimmer Biomet Holdings, Inc. | $142 |
| Smith+Nephew, Inc. | $114 |
| Medacta USA, Inc. | $107 |
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: 2012-06-13
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 |
|---|---|---|---|---|
| I20120613000568 | I | Orthopedic Surgery | CT | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 882 | 167 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 377 | 256 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 316 | 192 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 212 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 80 | $0 |
Insurance plans in this area (ZIP 06405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CT | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 29 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Interventional Pain Management | CT | |
| - | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Physical Therapist In Private Practice | CT | |
| Physical Therapist In Private Practice | CT |
Reviews
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