DR. STANLEY J SHIN (MD) – Cardiovascular Disease Physician, NPI 1801835194
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA
Provider Addresses for DR. STANLEY J SHIN (MD)
5 Grady Johnson Rd
Statesboro, GA 304586026
Phone: (912) 489-6246
Fax: (912) 489-6346
Type: Location
5, Grady Johnson Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304586026
Phone: (912) 489-6246
Fax: (912) 489-6346
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $894.
Total Amount is formed as General ($894) + Research ($0) + Ownership ($0) = $894.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($183).
Total Amount
$894
General + Research + Ownership
Payments
39
Total payment records
General Amount
$894
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
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: 2010-08-09
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 |
|---|---|---|---|---|
| I20100809000452 | I | Cardiovascular Disease (Cardiology) | GA | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 649 | 255 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 572 | 245 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 259 | 165 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 239 | 200 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 135 | 116 | $0 |
Insurance plans in this area (ZIP 30458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 32 | 32 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 85610 | Blood test, clotting time | 159 | 36 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93922 | Ultrasound study of arteries of both arms and legs | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | GA | |
| Cardiovascular Disease (Cardiology), Cardiac Surgery, Interventional Cardiology | GA | |
| Nurse Practitioner | GA |
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