Active NPI 1336569904 Individual Practitioner Male Practitioner

Dr. Peter Shi , DO

Internal Medicine • Jackson, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Shi, DO is a certified Internal Medicine practicing in Jackson, TN. With approximately 12 years of clinical experience since graduating from New York College Of Osteo Medicine Of New York Institute Of Technology in 2014, Dr. Shi delivers high-quality medical care to the local community at 620 SKYLINE DR.

Dr. Shi maintains professional affiliations with Inova Health Care Services, Emergency Medicine Associates P.A., P.C., Sebastian Physician Services, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

620 Skyline Dr

Jackson, TN 383013923

Telephone 7315414923

Associated Practice Facility / Clinic

🏢 Jackson Madison County General Hospital Facility NPI 1093705428

Medicare Profile & Education

Medical School

New York College Of Osteo Medicine Of New York Institute Of Technology

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jackson, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -11.2 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

67 Specialists

Practicing in Jackson, TN (2716 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shi (12 Years) 12 Yrs

Jackson Specialty Average (23.2 Years) 23.2 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	393	189	$261.16	$123.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	309	163	$167.91	$79.39
99239 Hospital discharge day management, more than 30 minutes	213	208	$256.82	$116.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	179	178	$597.72	$171.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$411.93	$129.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	449	233	$267.52	$127.01
99239 Hospital discharge day management, more than 30 minutes	240	234	$266.55	$120.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	185	114	$173.30	$81.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	123	$580.30	$175.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$355.00	$133.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	229	114	$218.67	$74.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	198	$801.77	$205.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	193	114	$397.95	$104.77
99239 Hospital discharge day management, more than 30 minutes	129	127	$370.05	$109.01
99220 Hospital observation care, typically 70 minutes	48	48	$661.20	$189.07
99217 Hospital observation care on day of discharge	20	19	$270.34	$73.81
99238 Hospital discharge day management, 30 minutes or less	18	18	$266.13	$70.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$336.33	$148.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	215	212	$662.00	$211.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	188	92	$172.72	$77.52
99220 Hospital observation care, typically 70 minutes	100	100	$632.85	$193.01
99239 Hospital discharge day management, more than 30 minutes	69	69	$282.61	$116.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	40	$342.00	$110.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$335.23	$150.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	424	170	$185.54	$70.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	238	234	$480.58	$201.55
99239 Hospital discharge day management, more than 30 minutes	136	134	$294.49	$104.04
99220 Hospital observation care, typically 70 minutes	55	55	$456.62	$183.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	44	$247.00	$100.80
99291 Critical care, first 30-74 minutes	42	35	$728.71	$216.30
99225 Subsequent observation care, typically 25 minutes per day	24	15	$162.00	$70.49
99217 Hospital observation care on day of discharge	23	23	$178.35	$70.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	13	$93.35	$38.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,063	442	$155.84	$68.80
99239 Hospital discharge day management, more than 30 minutes	393	373	$263.17	$100.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	251	243	$456.56	$191.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	113	$221.44	$98.76
99217 Hospital observation care on day of discharge	107	107	$175.78	$68.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	54	$92.31	$36.94
99225 Subsequent observation care, typically 25 minutes per day	89	68	$153.02	$69.37
99291 Critical care, first 30-74 minutes	70	53	$703.16	$211.25
99220 Hospital observation care, typically 70 minutes	68	68	$473.21	$176.03
99238 Hospital discharge day management, 30 minutes or less	25	25	$146.12	$69.12
99497 Advance care planning, first 30 minutes	15	13	$240.60	$75.19
99284 Emergency department visit with moderate level of medical decision making	11	11	$309.45	$112.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$299.36	$129.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,227	479	$155.00	$68.23
99239 Hospital discharge day management, more than 30 minutes	415	397	$268.00	$101.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	229	223	$437.00	$191.85
99291 Critical care, first 30-74 minutes	212	99	$702.00	$210.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	164	129	$220.00	$97.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	118	77	$95.00	$37.06
99225 Subsequent observation care, typically 25 minutes per day	115	87	$151.00	$68.94
99217 Hospital observation care on day of discharge	94	94	$196.00	$68.82
99220 Hospital observation care, typically 70 minutes	85	85	$437.00	$175.29
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	31	30	$34.00	$11.70
99497 Advance care planning, first 30 minutes	12	12	$235.00	$75.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	288	139	$155.00	$68.56
99239 Hospital discharge day management, more than 30 minutes	121	113	$268.00	$101.75
99291 Critical care, first 30-74 minutes	77	33	$702.00	$211.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	55	$220.00	$98.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	35	$95.00	$37.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$437.00	$191.91
99217 Hospital observation care on day of discharge	24	24	$196.00	$68.80
99225 Subsequent observation care, typically 25 minutes per day	21	16	$151.00	$69.18

Medical Specialties & State Licenses

CMS Verified: 2022-10-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IN 02005562A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TN 3196

Hospital & Practice Group Affiliations

Sebastian Physician Services, Pllc

1001 Towson Ave, Fort Smith, AR 729014921

Phone: 4794414000

Inova Health Care Services

3300 Gallows Rd, Falls Church, VA 220423307

Emergency Medicine Associates P.a., P.c.

101 Harris Rd, Kilmarnock, VA 224823880

Phone: 2406862300

Secondary Practice Locations

11109 Parkview Plaza Dr

Fort Wayne, IN 468451701

Phone: 2602662020

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Melissa Mooney , MD

Internal Medicine

NPI 1386030914

Doctor of Medicine (M.D.)

Dr. Ashley Brewer , MD

Family Medicine - Addiction Medicine

NPI 1417086547

Doctor of Medicine (M.D.)

Dr. Sara Story , MD

Internal Medicine

NPI 1497079933

Doctor of Medicine (M.D.)

Dr. Oshin Bansode , MD

Internal Medicine

NPI 1538789706

Doctor of Medicine (M.D.)

Dr. Andrew Yousef , MD

Hospitalist

NPI 1619403425

Doctor of Medicine (M.D.)

Dr. Victor Go , MD

Hospitalist

NPI 1699954636

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2017

Registered at 620 SKYLINE DR, JACKSON, TN 383013923 (Tel: 7315414923)

📍

Updated Business Mailing Address October 25, 2017

Registered at 1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 383054403 (Tel: 7316608781)

👤

Provider Name / Credentials Updated October 25, 2017

Recorded as PETER SHI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Internal Medicine (License #3196 in TN)

✅

NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2014

Registered at 450 CLARKSON AVE, BOX 1262, BROOKLYN, NY 112032012 (Tel: 7182708867)

📍

Updated Business Mailing Address April 22, 2014

Registered at 36 KENSINGTON AVE, STATEN ISLAND, NY 103052508 (Tel: 7182162635)

👤

Provider Name / Credentials Updated April 22, 2014

Recorded as PETER SHI, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 22, 2014

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: 1336569904

Entity Type:

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

Enumeration Date: April 22, 2014

Last Update: October 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1804 Highway 45 Byp Ste 604

Jackson, TN 383054403

Phone: 7316608781

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.