JONATHAN STEPHEN SHAW (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1356672794
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,735 OBSTETRICS/GYNECOLOGY in MI
Provider Addresses for JONATHAN STEPHEN SHAW (M.D.)
PO BOX 776982
CHICAGO, IL 606776982
Phone: (800) 494-5797
Type: Mailing
6401 PRAIRIE ST STE 1700
NORTON SHORES, MI 494447843
Phone: (231) 672-7944
Fax: (231) 672-7994
Type: Location
Medical Center Drive, Lebanon, Grafton County, New Hampshire, 03756, United States
OBSTETRICS & GYNECOLOGY
LEBANON, NH 037560001
Phone: (603) 653-9312
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,020.
Total Amount is formed as General ($1,020) + Research ($0) + Ownership ($0) = $1,020.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Valencia Technologies Corporation ($708).
Total Amount
$1,020
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Valencia Technologies Corporation | $708 |
| Axonics, Inc. | $235 |
| COLOPLAST CORP | $58 |
| Astellas Pharma US Inc | $20 |
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: 2024-10-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230830001808 | I | Obstetrics/Gynecology | MI | TBD |
| I20241003000405 | I | Obstetrics/Gynecology | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 60 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
| 57288 | Creation of sling around urethra in female to control leakage | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60677)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| H O S P I T A L I S T | TN | |
| N E U R O L O G Y | MI | |
| Hand Surgery, Plastic And Reconstructive Surgery | TN | |
| Physician Assistant | TN | |
| P S Y C H I A T R Y | TN | |
| Internal Medicine | TN | |
| U R O L O G Y | CT | |
| Internal Medicine | WI | |
| General Surgery | TN |
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