ALEXANDER SHAW (DO) – Family Medicine Physician, NPI 1609367119
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
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Provider Addresses for ALEXANDER SHAW (DO)
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 60525
Phone: (708) 245-8900
Fax: (708) 245-5777
Type: Location
6084 S ARCHER AVE
CHICAGO, IL 606382747
Phone: (773) 355-2800
Type: Location
6187 S ARCHER AVE STE 3
CHICAGO, IL 606382812
Phone: (735) 811-5007
Fax: (773) 581-2160
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $878.
Total Amount is formed as General ($878) + Research ($0) + Ownership ($0) = $878.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: PFIZER INC. ($218).
Total Amount
$878
General + Research + Ownership
Payments
43
Total payment records
General Amount
$878
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $218 |
| Novo Nordisk Inc | $176 |
| Lilly USA, LLC | $128 |
| AstraZeneca Pharmaceuticals LP | $104 |
| Exact Sciences Corporation | $84 |
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: 2021-08-03
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 |
|---|---|---|---|---|
| I20210803001562 | I | Family Practice | IL | 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 | 264 | 170 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 202 | 123 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 95 | 95 | $0 |
| G0008 | Administration of influenza virus vaccine | 58 | 58 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 53 | 53 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL | |
| Clinical Psychologist | IL | |
| - | IL | |
| Nurse Practitioner | IL |
Reviews
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