Active NPI 1285680553 Individual Practitioner Female Practitioner

Dr. Mary Ellen Theresa Shields , MD

Surgery • Berea, KY

Professional Overview & Biography Verified Profile Summary

Dr. Mary Ellen Shields, MD is a registered healthcare professional specializing in Surgery in Berea, KY. Practice services are available at 305 ESTILL ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, 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

305 Estill St

Berea, KY 404031742

Telephone 8599868418

Fax 8599866568

Associated Practice Facility / Clinic

🏢 Saint Joseph Berea Hospital Outpatient Pharmacy Facility NPI 1396743894

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Berea, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Berea, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	19	$174.61	$83.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$487.36	$236.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$207.80	$105.34
45380 Biopsy of large bowel using an endoscope	15	15	$383.27	$84.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$374.36	$175.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$264.00	$113.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	40	$170.93	$86.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$211.50	$105.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$273.00	$98.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$521.32	$168.64
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$499.00	$231.37
45380 Biopsy of large bowel using an endoscope	19	18	$641.00	$89.17
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$346.45	$169.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$203.00	$102.58
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$141.00	$70.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	23	$85.00	$42.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	19	$321.85	$99.06
45380 Biopsy of large bowel using an endoscope	19	19	$627.95	$151.04
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	16	$499.00	$242.45
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$332.67	$161.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	50	$80.00	$41.65
45380 Biopsy of large bowel using an endoscope	61	61	$498.00	$115.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$201.00	$100.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	47	$286.00	$99.13
99213 Established patient office or other outpatient visit, typically 15 minutes	44	34	$136.00	$69.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$592.00	$250.63
45378 Diagnostic exam of large bowel using a flexible endoscope	24	23	$330.67	$146.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	20	$37.00	$20.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$380.00	$163.97
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$138.00	$71.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	68	$80.00	$40.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	76	75	$286.00	$103.86
99213 Established patient office or other outpatient visit, typically 15 minutes	67	50	$136.00	$68.25
45380 Biopsy of large bowel using an endoscope	57	57	$498.00	$153.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$201.00	$100.03
45378 Diagnostic exam of large bowel using a flexible endoscope	45	44	$403.84	$169.35
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$138.00	$70.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$592.00	$251.28
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	21	$417.00	$173.00
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1358.00	$687.28
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$255.00	$92.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$417.00	$181.68
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$194.00	$97.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	92	$136.00	$65.82
45380 Biopsy of large bowel using an endoscope	113	111	$498.00	$136.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	106	99	$286.00	$83.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$201.00	$97.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	56	$80.00	$38.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	42	$592.00	$242.50
45378 Diagnostic exam of large bowel using a flexible endoscope	41	41	$417.00	$163.25
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$138.00	$67.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$201.00	$97.11
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$477.40	$163.08
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$194.00	$93.95
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$255.00	$76.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$37.00	$17.90
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1358.00	$662.57

Medical Specialties & State Licenses

CMS Verified: 2022-05-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 30354

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64303548 (KY)

Commercial Insurance / Payer ID Rrmc

P00357584 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Anthony Nigliazzo , MD

Surgery

NPI 1235339433

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 05, 2022

Registered at 305 ESTILL ST, BEREA, KY 404031742 (Tel: 8599868418)

📍

Updated Business Mailing Address May 05, 2022

Registered at PO BOX 936, LONDON, KY 407430936 (Tel: 8599868418)

✅

NPI Profile Active September 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2014

Registered at 305 ESTILL ST, 3RD FLOOR, BEREA, KY 404031742 (Tel: 8599868418)

📍

Updated Business Mailing Address September 12, 2014

Registered at 169 BURT RD, LEXINGTON, KY 405032455 (Tel: 8592789242)

👤

Provider Name / Credentials Updated September 12, 2014

Recorded as MARY ELLEN SHIELDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2014

Surgery (License #30354 in KY)

🟢

Initial NPI Registration & Enumeration May 26, 2006

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: 1285680553

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2006

Last Update: May 05, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 936

London, KY 407430936

Phone: 8599868418

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.