ENOCH D SHAW (MD) – Orthopaedic Surgery Physician, NPI 1710067988

ENOCH D SHAW (MD) is a healthcare provider. based in Salem, Oregon. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. MD08663 (OR). The NPI Number for ENOCH D SHAW (MD) is 1710067988

Main info

Male
63 Years Of Experience
Accepts Medicare Assignment
Name
ENOCH D SHAW (MD)
NPI
1710067988
Phone
(503) 480-0485
Address
2720 COMMERCIAL ST SE
Enumeration Date
16 October 2006
Last Update Date
27 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035409999
Graduation Year
1963 (63 years ago)
PAC ID
3476592551
Group Practice PAC ID
0143356360
Professional Enrollment ID
I20050503000423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ENOCH D SHAW (MD)

  • 2720, Commercial Street Southeast, South Salem, Salem, Marion County, Oregon, 97302, United States

    STE 201

    SALEM, OR 973024495

    Phone: (503) 480-0485

    Fax: (503) 480-0486

    Mailing address matches the actual address.

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 $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Amgen Inc. ($46).

Total Amount

$108

General + Research + Ownership

Payments

5

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-05-03

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
I20050503000423IOrthopedic SurgeryORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5619$0
99214Established patient office or other outpatient visit, 30-39 minutes2712$0
99212Established patient office or other outpatient visit, 10-19 minutes2215$0
View full utilization report →

Insurance plans in this area (ZIP 97302)

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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: 0143356360View full group profile
NameSpecialtyState
-OR

Reviews

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Frequently asked questions

What is the standard ID for ENOCH D SHAW (MD) in the U.S.?
In the U.S., ENOCH D SHAW (MD) is identified by NPI 1710067988.
Does the public listing show ENOCH D SHAW (MD) as active?
ENOCH D SHAW (MD)'s NPI record reflects an active status in NPPES.
What does the directory say ENOCH D SHAW (MD) does?
Insurance directories may phrase it differently, but here ENOCH D SHAW (MD) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ENOCH D SHAW (MD)?
ENOCH D SHAW (MD) shows a connection to Salem, Oregon in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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