DR. SHEA PELHAM PIELSTICKER (MD) – Emergency Medicine Physician, NPI 1104355718

DR. SHEA PELHAM PIELSTICKER (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 33202 (OK). The NPI Number for DR. SHEA PELHAM PIELSTICKER (MD) is 1104355718

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHEA PELHAM PIELSTICKER (MD)
NPI
1104355718
Phone
(405) 300-7740
Address
3025 SW 104th St
Enumeration Date
7 June 2017
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4056083200
Graduation Year
2017 (9 years ago)
PAC ID
2769755305
Group Practice PAC ID
8123209012
Professional Enrollment ID
I20200722001509
Address ID
OK731208382OK4050XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for DR. SHEA PELHAM PIELSTICKER (MD)

  • 3025 SW 104th St

    Oklahoma City, OK 731597036

    Phone: (405) 300-7740

    Fax: (405) 300-7731

    Type: Location

  • 1146, Northwest 37th Street, Oklahoma City, Oklahoma County, Oklahoma, 73118, United States

    OKLAHOMA CITY, OK 731185420

    Phone: (918) 645-9535

    Type: Mailing

  • 1201 HEALTH CENTER PKWY

    YUKON, OK 730996381

    Phone: (405) 717-6851

    Type: Location

  • 709 N CZECH HALL RD

    YUKON, OK 730997897

    Phone: (405) 494-8600

    Fax: (405) 494-8600

    Type: Mailing

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: 2025-07-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200722001509IEmergency MedicineOKTBD
I20250729001920IEmergency MedicineARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making290258$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only112106$0
99284Emergency department visit with moderate level of medical decision making7676$0
99283Emergency department visit with low level of medical decision making2828$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 73159)

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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: 8123209012View full group profile
NameSpecialtyState
-OK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency Medicine, Family PracticeOK
Pediatric MedicineOK
-OK
Emergency MedicineOK
Emergency MedicineTX
-OK

Reviews

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Frequently asked questions

What is DR. SHEA PELHAM PIELSTICKER (MD)'s NPI number?
DR. SHEA PELHAM PIELSTICKER (MD)'s NPI is 1104355718 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. SHEA PELHAM PIELSTICKER (MD)?
For scheduling context, DR. SHEA PELHAM PIELSTICKER (MD) is shown as active in the registry.
What kind of doctor is DR. SHEA PELHAM PIELSTICKER (MD)?
DR. SHEA PELHAM PIELSTICKER (MD) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SHEA PELHAM PIELSTICKER (MD) associated with Oklahoma City?
Public fields place DR. SHEA PELHAM PIELSTICKER (MD) around Oklahoma City, Oklahoma. Always confirm the exact site before visiting.
Does DR. SHEA PELHAM PIELSTICKER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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