Active NPI 1689229809 Individual Practitioner Female Practitioner

Carly Shaw , APRN

Nurse Practitioner • Lees Summit, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carly Shaw, APRN is a certified Nurse Practitioner practicing in Lees Summit, MO. With approximately 7 years of clinical experience since completing medical education in 2019, Carly Shaw delivers high-quality medical care to the local community at 4880 NE GOODVIEW CIR.

Carly Shaw is affiliated with Ascentist Physicians Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, professional service for preparation and provision of, established 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

4880 Ne Goodview Cir

Lees Summit, MO 640641996

Telephone 8164784200

Fax 8168752598

Associated Practice Facility / Clinic

🏢 Midwest Ear Nose & Throat Ctr Pc Facility NPI 1023001450

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lees Summit, MO

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -2.3 yrs vs City Avg

City Avg: 9.3 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

35 Specialists

Practicing in Lees Summit, MO (1750 Statewide)

Telehealth Adoption Rate

11.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (7 Years) 7 Yrs

Lees Summit Specialty Average (9.3 Years) 9.3 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
69210 Removal of impacted ear wax	360	245	$116.93	$38.38
95165 Professional service for preparation and provision of 1 or more antigens	340	17	$36.53	$11.69
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$221.35	$73.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	67	$313.35	$104.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$274.93	$90.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$408.78	$136.06
92504 Exam of ear using a microscope	31	19	$70.90	$22.94
70486 CT scan of face	30	25	$324.40	$104.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$138.28	$45.73
31575 Diagnostic exam of voice box using a flexible endoscope	23	21	$318.23	$103.58
31238 Control of bleeding of nose using an endoscope	16	14	$618.10	$202.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	255	$197.03	$74.02
69210 Removal of impacted ear wax	151	141	$103.80	$38.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$241.33	$90.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$325.18	$131.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	61	$280.89	$104.76
92504 Exam of ear using a microscope	29	25	$59.17	$23.66
70486 CT scan of face	21	21	$378.40	$108.43
31575 Diagnostic exam of voice box using a flexible endoscope	21	21	$272.01	$105.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	285	234	$89.00	$39.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$270.00	$138.03
99213 Established patient office or other outpatient visit, typically 15 minutes	127	110	$140.31	$74.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$185.85	$91.33
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	57	54	$93.00	$43.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	45	$185.48	$105.68
92504 Exam of ear using a microscope	24	16	$53.00	$23.61
31575 Diagnostic exam of voice box using a flexible endoscope	17	17	$230.00	$105.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	118	101	$93.00	$42.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$238.35	$136.05
99213 Established patient office or other outpatient visit, typically 15 minutes	74	64	$110.00	$75.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$158.00	$89.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$154.00	$106.68
69210 Removal of impacted ear wax	46	44	$92.87	$39.43
92504 Exam of ear using a microscope	32	25	$53.00	$20.78
31231 Diagnostic examination of nasal passages using an endoscope	26	25	$367.00	$151.76
95117 Professional service for multiple injections of allergen	13	13	$25.00	$9.17
31575 Diagnostic exam of voice box using a flexible endoscope	12	12	$230.00	$104.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	26	25	$89.00	$40.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$158.00	$84.78
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$110.00	$60.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$238.00	$138.41

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2019026180

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ascentist Physicians Group Llc

4880 Ne Goodview Cir, Lees Summit, MO 640641996

Phone: 8164784200

Ascentist Physicians Group Llc

4901 College Blvd, Leawood, KS 662111602

Phone: 9137213387

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Brandon Johnson , MD

Otolaryngology

NPI 1003173436

Doctor of Medicine (M.D.)

Dr. Anna Grashoff , AuD

Audiologist

NPI 1013320035

Doctor of Audiology

Dr. Kyle Kimura , MD

Otolaryngology

NPI 1013361005

Doctor of Medicine (M.D.)

Dr. Andrew Pavlovich , MD

Otolaryngology

NPI 1013980614

Doctor of Medicine (M.D.)

Dr. Quintin Cokingtin , MD

Internal Medicine - Pulmonary Disease

NPI 1023089349

Doctor of Medicine (M.D.)

Dr. Colleen Johnson , MD

Otolaryngology

NPI 1033301510

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 05, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2019

Registered at 4880 NE GOODVIEW CIR, LEES SUMMIT, MO 640641996 (Tel: 8164784200)

📍

Updated Business Mailing Address August 05, 2019

Registered at 3340 NE RALPH POWELL RD STE B, LEES SUMMIT, MO 640642368 (Tel: 8164784200)

👤

Provider Name / Credentials Updated August 05, 2019

Recorded as CARLY SHAW, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2019

Nurse Practitioner (License #2019026180 in MO)

🟢

Initial NPI Registration & Enumeration August 05, 2019

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: 1689229809

Entity Type:

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

Enumeration Date: August 05, 2019

Last Update: August 05, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3340 Ne Ralph Powell Rd Ste B

Lees Summit, MO 640642368

Phone: 8164784200

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.