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Active NPI 1871662809 Individual Practitioner Male Practitioner

Dr. Tavis M. Shaw , DO

Urology • Wpafb, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tavis Shaw, DO is a certified Urology practicing in Wpafb, OH. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Shaw delivers high-quality medical care to the local community at 4881 SUGAR MAPLE DR.

Dr. Shaw is affiliated with Alaska Native Tribal Health Consortium and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, 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

4881 Sugar Maple Dr

Wpafb, OH 454335529

Telephone 9372579292
Associated Practice Facility / Clinic
🏢 Intermountain Healthcare Facility NPI 1326096728

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Wpafb, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs Matches City Avg
City Avg: 23.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Wpafb, OH (564 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (23 Years) 23 Yrs
Wpafb Specialty Average (23.0 Years) 23.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
57 47 $269.00 $86.02
52000 Diagnostic exam of bladder and urethra using an endoscope
40 39 $1275.00 $99.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $425.00 $103.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
23 21 $170.00 $46.12
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $267.20 $86.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
19 19 $416.97 $106.45

Medical Specialties & State Licenses

CMS Verified: 2026-05-20
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License UT 14235720-1204

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License PA OS013233

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License OH 34.009996

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA OS013233

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.

Hospital & Practice Group Affiliations

Alaska Native Tribal Health Consortium

4315 Diplomacy Dr, Anchorage, AK 995085926

Phone: 9075632662

Secondary Practice Locations

5171 S Cottonwood St Ste 210

Murray, UT 841075718

Phone: 8015073380

Practice Associates & Co-Workers

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

40 Associated Practitioners
John Arthur

Internal Medicine

NPI 1003557661
Kendra Schmuck , RD LD

Dietitian, Registered

NPI 1003852310

RDLD

Dr. Katelyn Marilao , MD

Emergency Medicine

NPI 1013603810

Doctor of Medicine (M.D.)

NPI 1023275971

Doctor of Medicine (M.D.)

NPI 1023758463

Doctor of Medicine (M.D.)

Dr. Alexander Cahoon , DO

Student in an Organized Health Care Education/Training Program

NPI 1023868080

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address May 20, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2026

Urology (License #OS013233 in PA)

NPI Profile Active March 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2015

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 9372579292)

📍
Updated Business Mailing Address March 20, 2015

Registered at 4881 SUGAR MAPLE DR., WRIGHT PATTERSON MEDICAL CENTER, WPAFB, OH 45433 (Tel: 9372579292)

👤
Provider Name / Credentials Updated March 20, 2015

Recorded as TAVIS SHAW, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2015

Surgery (License #OS013233 in PA)

🟢
Initial NPI Registration & Enumeration November 06, 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: 1871662809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: May 20, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.