DR. MANDY L SHAW (M.D,) – Family Medicine Physician, NPI 1972682870
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 FAMILY PRACTICE in NE
Provider Addresses for DR. MANDY L SHAW (M.D,)
Sidney Regional Medical Center, 1000, Pole Creek Crossing, Sidney, Cheyenne County, Nebraska, 69162, United States
SIDNEY, NE 691622901
Phone: (308) 254-5544
Fax: (308) 254-2672
Type: Mailing
758 2nd St
Chappell, NE 691296876
Phone: (308) 205-0706
Fax: (308) 272-1263
Type: Location
900 CEDAR ST
JULESBURG, CO 807371121
Phone: (970) 474-3323
Fax: (970) 474-2758
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($70).
Total Amount
$175
General + Research + Ownership
Payments
9
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $70 |
| Lilly USA, LLC | $36 |
| Shield Therapeutics Inc | $21 |
| Xeris Pharmaceuticals, Inc. | $17 |
| AstraZeneca Pharmaceuticals LP | $16 |
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: 2021-09-09
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 |
|---|---|---|---|---|
| I20050106000743 | I | Family Practice | NE | TBD |
| I20210909003929 | I | Family Practice | CO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 364 | 158 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 63 | $0 |
| 83036 | Hemoglobin a1c level | 73 | 44 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 31 | 20 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 30 | 30 | $0 |
Insurance plans in this area (ZIP 69162)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Nurse Practitioner | AL | |
| Family Practice | CO | |
| Family Practice | AZ | |
| Physician Assistant | NE | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| - | CO | |
| Family Practice | CO | |
| General Surgery | CO |
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