DR. DAVID PRESTON SHAW (M.D.) – Psychiatry Physician, NPI 1003971904

DR. DAVID PRESTON SHAW (M.D.) is a healthcare provider. based in Issaquah, Washington. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. MD00031334 (WA). The NPI Number for DR. DAVID PRESTON SHAW (M.D.) is 1003971904

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID PRESTON SHAW (M.D.)
NPI
1003971904
Phone
(425) 392-0654
Address
470 FRONT ST N
Enumeration Date
22 December 2006
Last Update Date
10 July 2012

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
4253920654
Graduation Year
1989 (37 years ago)
PAC ID
5496821886
Professional Enrollment ID
I20080909000385
Address ID
WA980272914IS470XXNXXX400
Telehealth
Yes
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

710 PSYCHIATRY in WA

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Provider Addresses for DR. DAVID PRESTON SHAW (M.D.)

  • 470 Front St North, Creek Place, Issaquah, King County, Washington, 98029, United States

    ISSAQUAH, WA 980272914

    Phone: (425) 392-0654

    Fax: (425) 392-8979

    Type: Location

  • United States Post Office, West Williams Street, South End, Kent, Portage County, Ohio, 44240, United States

    KENT, WA 980645202

    Phone: (253) 520-0158

    Fax: (253) 854-9860

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Alkermes, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$15
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: 2008-09-09

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
I20080909000385IPsychiatryWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes72756$0
90836Psychotherapy with evaluation and management visit, 45 minutes71049$0
90832Psychotherapy, 30 minutes4823$0
90833Psychotherapy with evaluation and management visit, 30 minutes4227$0
99213Established patient office or other outpatient visit, 20-29 minutes2318$0
View full utilization report →

Insurance plans in this area (ZIP 98027)

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Reviews

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Frequently asked questions

Does DR. DAVID PRESTON SHAW (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DAVID PRESTON SHAW (M.D.) uses 1003971904.
Does the file indicate DR. DAVID PRESTON SHAW (M.D.) is practicing under active NPI?
Directory data currently reports DR. DAVID PRESTON SHAW (M.D.) as active.
What is DR. DAVID PRESTON SHAW (M.D.) best known for clinically?
Directory data describes DR. DAVID PRESTON SHAW (M.D.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. DAVID PRESTON SHAW (M.D.) list a practice location?
Patients near Issaquah, Washington may find DR. DAVID PRESTON SHAW (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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