PETER GARY SHIELDS (MD) – Medical Oncology Physician, NPI 1033119896

PETER GARY SHIELDS (MD) is a healthcare provider. based in Columbus, Ohio. specializing in MEDICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. 35.098508 (OH). The NPI Number for PETER GARY SHIELDS (MD) is 1033119896

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
PETER GARY SHIELDS (MD)
NPI
1033119896
Phone
(614) 947-3700
Address
700 ACKERMAN RD
Enumeration Date
22 July 2005
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
6142933196
Graduation Year
1983 (43 years ago)
PAC ID
0840187423
Group Practice PAC ID
5496651408
Professional Enrollment ID
I20120221000315
Address ID
OH432101240CO460XXAVEX400

Contacts

Secure Messaging
pshields45610@direct.osumc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

240 MEDICAL ONCOLOGY in OH

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Provider Addresses for PETER GARY SHIELDS (MD)

  • 700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    SUITE 260

    COLUMBUS, OH 432021559

    Phone: (614) 947-3700

    Type: Mailing

  • Brain and Spine Hospital, 300, West Tenth Avenue, University District District 4, Columbus, Franklin, Ohio, 43210, United States

    COLUMBUS, OH 432101280

    Phone: (614) 293-8619

    Fax: (614) 293-6420

    Type: Location

  • 460 W 10TH AVE

    COLUMBUS, OH 432101240

    Phone: (614) 293-6529

    Fax: (614) 293-9469

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-5066

    Fax: (614) 293-9449

    Type: Mailing

  • 300 W 10TH AVE FL 2

    COLUMBUS, OH 432101280

    Phone: (614) 293-5066

    Fax: (614) 293-9449

    Type: Location

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: 2012-02-21

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
I20120221000315IMedical OncologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43202)

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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: 5496651408View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicinePA
-OH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
Nurse PractitionerOH
Medical OncologyOH
Medical OncologyOH
H E M A T O L O G Y/ O N C O L O G YCA
Nurse PractitionerOH
H O S P I T A L I S TOH

Reviews

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Frequently asked questions

What is the registry number for PETER GARY SHIELDS (MD)?
The registry entry for PETER GARY SHIELDS (MD) shows NPI 1033119896.
Is PETER GARY SHIELDS (MD) currently accepting referrals based on NPI status?
Registry metadata lists PETER GARY SHIELDS (MD) as active.
How should patients interpret PETER GARY SHIELDS (MD)'s specialty?
The extract shows Medical Oncology Physician for PETER GARY SHIELDS (MD). Clinical services aligned with this taxonomy classification.
What city is tied to PETER GARY SHIELDS (MD)?
The directory associates PETER GARY SHIELDS (MD) with Columbus, Ohio. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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