SHAYNE R SQUIRES (M.D.) – Cardiovascular Disease Physician, NPI 1043257090

SHAYNE R SQUIRES (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 62453 (WI). The NPI Number for SHAYNE R SQUIRES (M.D.) is 1043257090

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SHAYNE R SQUIRES (M.D.)
NPI
1043257090
Phone
Not provided
Address
2727 PACES FERRY RD SE STE 1-1100
Enumeration Date
31 May 2006
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8224012679
Group Practice PAC ID
2668377474
Professional Enrollment ID
I20220930001579
Address ID
NC286075008BO336XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness75
Years active:20State licenses:4Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

Provider Addresses for SHAYNE R SQUIRES (M.D.)

  • 2727 PACES FERRY RD SE STE 1-1100

    ATLANTA, GA 303396151

    Phone:

    Type: Mailing

  • 2151 W SPRING ST STE B110

    MONROE, GA 306553209

    Phone: (770) 267-1895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Kiniksa Pharmaceuticals International, plc ($36).

Total Amount

$216

General + Research + Ownership

Payments

11

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2025-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220930001579ICardiovascular Disease (Cardiology)NCTBD
I20250811002082ICardiovascular Disease (Cardiology)MTTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,046831$0
99214Established patient office or other outpatient visit, 30-39 minutes381199$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function218214$0
99204New patient office or other outpatient visit, 45-59 minutes129129$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician8282$0
View full utilization report →

Insurance plans in this area (ZIP 30339)

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Provider's Procedures

SHAYNE R SQUIRES (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWI78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies131131
INTERNAL MEDICINEWI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3939

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: 2668377474View full group profile
NameSpecialtyState
Radiation OncologySC
-NC
Certified Registered Nurse Anesthetist (Crna)NC
-NC
Radiation OncologyPA
Certified Registered Nurse Anesthetist (Crna)UT
Family PracticeNC
Nurse PractitionerNC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What unique ID ties claims to SHAYNE R SQUIRES (M.D.)?
NPI 1043257090 is assigned to SHAYNE R SQUIRES (M.D.) under the national enumeration system.
Is SHAYNE R SQUIRES (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHAYNE R SQUIRES (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for SHAYNE R SQUIRES (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for SHAYNE R SQUIRES (M.D.)?
We surface Atlanta, Georgia for SHAYNE R SQUIRES (M.D.) based on available NPPES addresses.
How can I contact SHAYNE R SQUIRES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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