DR. DOUGLAS S SHIELDS (DO) – Emergency Medicine Physician, NPI 1194947390
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
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Provider Addresses for DR. DOUGLAS S SHIELDS (DO)
3308, Southeast 179th Avenue, Portland, Metro, Multnomah County, Oregon, 97236, United States
PORTLAND, OR 972083308
Phone: (503) 215-4323
Fax: (503) 215-0297
Type: Mailing
Providence Medford Medical Center, 1111, Crater Lake Avenue, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975046241
Phone: (503) 215-4323
Fax: (503) 215-0297
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: 2005-12-20
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 |
|---|---|---|---|---|
| I20051220000666 | I | Emergency Medicine | OR | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 38 | 38 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 30 | 30 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Interventional Cardiology, Internal Medicine | MA | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | OR | |
| Internal Medicine, Interventional Cardiology | OR | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | OR | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OR | |
| Nurse Practitioner | OR | |
| - | MO | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OR | |
| - | OR |
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