CHRISTOPHER C SHIELDS (MD) – Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, NPI 1285633065

CHRISTOPHER C SHIELDS (MD) is a healthcare provider. based in Pocatello, Idaho. specializing in FAMILY PRACTICE, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. M4528 (ID). The NPI Number for CHRISTOPHER C SHIELDS (MD) is 1285633065

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER C SHIELDS (MD)
NPI
1285633065
Phone
(208) 237-1151
Address
1125 W ALAMEDA RD
Enumeration Date
14 July 2005
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
2082371151
Graduation Year
1979 (47 years ago)
PAC ID
8426952177
Group Practice PAC ID
0547164923
Professional Enrollment ID
I20060428000574
Address ID
ID832056143PO1125XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

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Provider Addresses for CHRISTOPHER C SHIELDS (MD)

  • 1125, West Alameda Road, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832016143

    Phone: (208) 237-1151

    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)

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: 2006-04-28

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
I20060428000574IFamily PracticeIDTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 83201)

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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: 0547164923View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationID

Reviews

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Frequently asked questions

What is the registry number for CHRISTOPHER C SHIELDS (MD)?
The registry entry for CHRISTOPHER C SHIELDS (MD) shows NPI 1285633065.
Does the public listing show CHRISTOPHER C SHIELDS (MD) as active?
CHRISTOPHER C SHIELDS (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret CHRISTOPHER C SHIELDS (MD)'s specialty?
The extract shows Undersea and Hyperbaric Medicine (Emergency Medicine) Physician for CHRISTOPHER C SHIELDS (MD). Clinical services aligned with this taxonomy classification.
Is CHRISTOPHER C SHIELDS (MD) tied to Pocatello, Idaho?
If you are local to Pocatello, Idaho, CHRISTOPHER C SHIELDS (MD) may be relevant to your search.
Who maintains CHRISTOPHER C SHIELDS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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