ANDREW SHAY (MD) – Surgery Physician, NPI 1215165162

ANDREW SHAY (MD) is a healthcare provider. based in Boise, Idaho. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. RS20090316 (NM). The NPI Number for ANDREW SHAY (MD) is 1215165162

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW SHAY (MD)
NPI
1215165162
Phone
Not provided
Address
190 E BANNOCK ST
Enumeration Date
30 June 2009
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
6709010242
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20250820002575
Address ID
ID836426351ME520XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:16State licenses:3Digital endpointsOther names

191 GENERAL SURGERY in ID

Provider Addresses for ANDREW SHAY (MD)

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 520 S EAGLE RD

    MERIDIAN, ID 836426351

    Phone: (208) 381-6930

    Fax: (208) 381-6931

    Type: Location

  • 1707 W Charleston Blvd

    Suite 160

    Las Vegas, NV 891022351

    Phone: (702) 671-5150

    Fax: (702) 384-6493

    Type: Location

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    SUITE 400

    LAS VEGAS, NV 891022325

    Phone: (702) 671-2273

    Fax: (702) 385-9399

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-20

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
I20160518001797IGeneral SurgeryTXTBD
I20250820002575IGeneral SurgeryIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9353$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4745$0
99239Hospital discharge day management, more than 30 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

What is the standard ID for ANDREW SHAY (MD) in the U.S.?
In the U.S., ANDREW SHAY (MD) is identified by NPI 1215165162.
Should I treat ANDREW SHAY (MD) as an active provider?
Patients and plans typically see ANDREW SHAY (MD) as active in the national extract.
What does the directory say ANDREW SHAY (MD) does?
Insurance directories may phrase it differently, but here ANDREW SHAY (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREW SHAY (MD)?
ANDREW SHAY (MD) shows a connection to Boise, Idaho in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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