SHAY HARTVICKSON (M.D.) – Emergency Medicine Physician, NPI 1477913747
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
109 GENERAL PRACTICE in WA
Provider Addresses for SHAY HARTVICKSON (M.D.)
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311000
Phone: (253) 968-0117
Type: Location
Building 7015 Murphy Loop
Hood Army Airfield
Fort Hood, TX 765441000
Phone: (208) 208-1808
Type: Location
590 MEDICAL CENTER RD.
FORT CAVAZOS, TX 76544
Phone: (208) 208-1808
Type: Mailing
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544
Phone: (701) 208-1808
Type: Location
BUILDING 7015 MURPHY LOOP
HOOD ARMY AIRFIELD
FORT HOOD, TX 765441000
Phone: (208) 208-1808
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 $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-05-11 • Largest payer in this snapshot: LIGHTFORCE ORTHODONTICS, INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LIGHTFORCE ORTHODONTICS, INC. | $25 |
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: 2024-04-05
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 |
|---|---|---|---|---|
| I20240405001570 | I | General Practice | TX | 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 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Emergency Medicine | IN | |
| Emergency Medicine | TX | |
| - | OH | |
| Emergency Medicine | PA | |
| Family Practice, Emergency Medicine | CT | |
| Emergency Medicine | OK | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | IA |
Reviews
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