Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437487709 Individual Practitioner Male Practitioner

Dr. Andrew Brian Shaw , MD

Neurological Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Shaw, MD is a certified Neurological Surgery practicing in Jacksonville, FL. With approximately 17 years of clinical experience since graduating from Ohio State University College Of Medicine in 2009, Dr. Shaw delivers high-quality medical care to the local community at 836 PRUDENTIAL DR STE 1400.

Dr. Shaw is affiliated with Lyerly Baptist Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of cage or mesh device to spine bone and disc space during spine fusion, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

836 Prudential Dr Ste 1400

Jacksonville, FL 322078340

Telephone 9043886518
Fax 9043841005
Associated Practice Facility / Clinic
🏢 Lyerly Baptist Inc Facility NPI 1740515006

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -0.5 yrs vs City Avg
City Avg: 17.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
78 Specialists

Practicing in Jacksonville, FL (675 Statewide)

Telehealth Adoption Rate
28.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (17 Years) 17 Yrs
Jacksonville Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
122 76 $680.82 $260.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
108 101 $269.74 $123.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
83 83 $232.92 $106.99
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
71 71 $2918.94 $971.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
67 67 $376.61 $161.89
63048 Partial removal of spine bone with release of spinal cord and/or nerves
45 30 $556.80 $215.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
44 43 $407.36 $168.25
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc
40 40 $4558.07 $1689.79
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
37 27 $1051.30 $390.84
22614 Fusion of additional segment of spine
32 17 $1032.63 $406.49
22840 Placement of stabilizing device to back of 1 spine bone in neck
30 30 $1991.87 $784.76
22845 Placement of stabilizing device to front, 2-3 spine bone segments
29 29 $1971.48 $728.74
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin
26 14 $3421.92 $309.11
63267 Removal of growth of lower spine bone outside spine membrane
20 20 $3648.10 $1275.41
22633 Fusion of spine in lower back with partial removal of spine bone and disc
20 20 $4815.49 $1846.83
22842 Placement of stabilizing device to back, 3-6 spine bone segments
19 19 $2040.50 $794.16
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach
18 18 $3991.83 $829.27
22612 Fusion of spine in lower back
17 17 $4144.41 $1630.88
99213 Established patient office or other outpatient visit, typically 15 minutes
16 15 $197.81 $83.86
63685 Insertion of spinal neurostimulator pulse generator or receiver
15 15 $879.67 $175.76
22846 Placement of stabilizing device to front, 4-7 spine bone segments
11 11 $2010.00 $743.67
69990 Use of operating microscope
11 11 $587.45 $231.02

Medical Specialties & State Licenses

CMS Verified: 2026-06-17
Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME127817

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License OH 57.016115

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Lyerly Baptist Inc

836 Prudential Dr, Jacksonville, FL 322078340

Phone: 9043886518

Secondary Practice Locations

1747 Baptist Clay Dr Ste 200

Fleming Island, FL 320038505

Phone: 9042026683

1370 13th Ave S Ste 118

Jacksonville Beach, FL 322503206

Phone: 9043886518

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Defazio , PA-C

Physician Assistant

NPI 1003271404

Physician Assistant (Certified)

Timothy Garrahy , APRN

Nurse Practitioner

NPI 1013530807

Advanced Practice Registered Nurse

Dr. Sasha Vaziri , MD

Neurological Surgery

NPI 1023495017

Doctor of Medicine (M.D.)

Dr. Krishnan Ravindran , MD

Neurological Surgery

NPI 1053872739

Doctor of Medicine (M.D.)

Annalise Deboef , APRN

Nurse Practitioner

NPI 1053926501

Advanced Practice Registered Nurse

Tiffany Dyal

Physician Assistant

NPI 1073009619

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2026

Neurological Surgery (License #57.016115 in OH)

📍
Updated Practice Location August 07, 2025

Registered at 836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 322078340 (Tel: 9043886518)

📍
Updated Business Mailing Address August 07, 2025

Registered at PO BOX 746647, ATLANTA, GA 303746647 (Tel: 9042022092)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2025

Neurological Surgery (License #ME127817 in FL)

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2018

Registered at 800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 322078202 (Tel: 9043886518)

📍
Updated Business Mailing Address January 16, 2018

Registered at 800 PRUDENTIAL DR FL B11, JACKSONVILLE, FL 322078202 (Tel: 9043886518)

👤
Provider Name / Credentials Updated January 16, 2018

Recorded as ANDREW SHAW, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Neurological Surgery (License #57.016115 in OH)

NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2016

Registered at 1725 SE 28TH LOOP, OCALA, FL 344715323 (Tel: 3526291743)

📍
Updated Business Mailing Address August 16, 2016

Registered at 1725 SE 28TH LOOP, OCALA, FL 344715323 (Tel: 3526291743)

👤
Provider Name / Credentials Updated August 16, 2016

Recorded as ANDREW SHAW, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

Neurological Surgery (License #ME127817 in FL)

🟢
Initial NPI Registration & Enumeration November 25, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437487709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2009
Last Update: June 17, 2026
Sole Proprietor: No

Mailing Address

Po Box 746647

Atlanta, GA 303746647

Phone: 9042022092

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.