DR. JEFFREY B SHAW (M.D.) – Family Medicine Physician, NPI 1396768107
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JEFFREY B SHAW (M.D.)
597 BANBURY RD
CENTERVILLE FINANCE, OH 454591645
Phone: (937) 435-6876
Type: Mailing
935, Main Street, Indian Knolls, Milford, Clermont County, Ohio, 45150, United States
MILFORD, OH 451501911
Phone: (513) 831-5955
Fax: (513) 831-5985
Type: Location
8377 HEATHER SPRINGS DR
LIBERTY TOWNSHIP, OH 450449305
Phone: (937) 609-6995
Type: Mailing
228 TROY ST
DAYTON, OH 454041831
Phone: (937) 228-8132
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($44).
Total Amount
$79
General + Research + Ownership
Payments
5
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $44 |
| Tris Pharma Inc | $35 |
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: 2005-03-12
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 |
|---|---|---|---|---|
| I20050312000095 | I | Family Practice | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45459)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | OH | |
| - | MI | |
| - | OH | |
| - | KY | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Family Practice | OH |
Reviews
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