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Active NPI 1861969412 Individual Practitioner Male Practitioner

Michael Ed Shaw

Physician Assistant • Berlin, VT

Professional Overview & Biography Verified Profile Summary

Michael Shaw is a registered healthcare professional specializing in Physician Assistant in Berlin, VT. Practice services are available at 130 FISHER RD UNIT 1 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 Fisher Rd Unit 1

Berlin, VT 056028132

Telephone 8023714264
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Berlin, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Berlin, VT (325 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.3% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
82 80 $339.51 $95.83
99285 Emergency department visit for life threatening or functioning severity
58 56 $509.57 $138.60
99283 Emergency department visit with low level of medical decision making
42 41 $201.41 $56.33

Medical Specialties & State Licenses

CMS Verified: 2025-07-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VT 055.0031417

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1311 Barre-Montpelier Road, Suite 200

Berlin, VT 05602

Phone: 8026714239

98 Lakeview Ter # 2

Burlington, VT 054012930

Phone: 8023431377

111 Colchester Ave

Burlington, VT 054011473

Phone: 8028470000

115 Porter Dr

Middlebury, VT 057538629

Phone: 8023884430

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Talat Raja , MD

Internal Medicine

NPI 1649408220

Doctor of Medicine (M.D.)

Marc Belisle

Nurse Practitioner

NPI 1649785262
NPI 1992095269

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 22, 2025

Registered at 130 FISHER RD UNIT 1, BERLIN, VT 056028132 (Tel: 8023714264)

📍
Updated Business Mailing Address July 22, 2025

Registered at 111 COLCHESTER AVE, BURLINGTON, VT 054011473 (Tel: 8028470000)

📍
Updated Practice Location April 09, 2019

Registered at 130 FISHER RD, BERLIN, VT 056029516 (Tel: 8023714264)

NPI Profile Active October 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2018

Registered at 98 LAKEVIEW TER # 2, BURLINGTON, VT 054012930 (Tel: 8023431377)

📍
Updated Business Mailing Address October 31, 2018

Registered at 98 LAKEVIEW TER # 2, BURLINGTON, VT 054012930 (Tel: 8023431377)

👤
Provider Name / Credentials Updated October 31, 2018

Recorded as MICHAEL SHAW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 31, 2018

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: 1861969412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2018
Last Update: July 22, 2025
Sole Proprietor: No

Mailing Address

111 Colchester Ave

Burlington, VT 054011473

Phone: 8028470000

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.