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Active NPI 1154878858 Individual Practitioner Male Practitioner

Micah Shaw , PA-C

Physician Assistant • Albuquerque, NM

Professional Overview & Biography Verified Profile Summary

Micah Shaw, PA-C is a registered healthcare professional specializing in Physician Assistant in Albuquerque, NM. Practice services are available at 2211 LOMAS BLVD NE under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making, 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

2211 Lomas Blvd Ne

Albuquerque, NM 871062719

Telephone 5052722111
Associated Practice Facility / Clinic
🏢 Unm Hospital Facility NPI 1629107834

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate
14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
21 21 $308.57 $105.60
99283 Emergency department visit with low level of medical decision making
13 13 $180.77 $62.13

Medical Specialties & State Licenses

CMS Verified: 2024-10-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2016-0072

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013302256

Doctor of Medicine (M.D.)

Halle Tyczkowski

Student in an Organized Health Care Education/Training Program

NPI 1013859933
Dr. Harrison Wood , MD

Internal Medicine

NPI 1013924612

Doctor of Medicine (M.D.)

Michael Hovden , PA-C

Internal Medicine

NPI 1023163094

Physician Assistant (Certified)

Jessica West , PA-C

Physician Assistant - Surgical

NPI 1023442209

Physician Assistant (Certified)

Kenny Long

Student in an Organized Health Care Education/Training Program

NPI 1023958675

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address October 23, 2024

Registered at 800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 871064310 (Tel: 5052721476)

NPI Profile Active September 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2016

Registered at 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 871062719 (Tel: 5052722111)

📍
Updated Business Mailing Address September 09, 2016

Registered at 933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 871064374 (Tel: 5052723120)

👤
Provider Name / Credentials Updated September 09, 2016

Recorded as MICAH SHAW, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2016

Physician Assistant (License #PA2016-0072 in NM)

🟢
Initial NPI Registration & Enumeration September 09, 2016

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: 1154878858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2016
Last Update: October 23, 2024
Sole Proprietor: No

Mailing Address

800 Bradbury Dr Se Ste 116

Albuquerque, NM 871064310

Phone: 5052721476

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.