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Dr. Peter Shi , DO

Internal Medicine โ€ข Jackson, TN

Active NPI 1336569904 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

620 Skyline Dr
Jackson, TN 383013923

Call 7315414923 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

620 Skyline Dr

Jackson, TN 383013923

Telephone 7315414923
Organization at the Same NPPES Address or Phone
Jackson Madison County General Hospital Facility NPI 1093705428

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fort Wayne, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 3 distinct group names: Emergency Medicine Associates P.A., P.C.; Inova Health Care Services; Sebastian Physician Services, Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

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

Graduation Year

2014

Medicare patients

515 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $130,356 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $102,186 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

190 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$13,481 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $11.12 in 2020

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2020.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Shi has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Shi as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Tennessee

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Internal Medicine in Jackson, TN (2024, 49 clinicians with data). Median for this group: 1,144. Middle half: 546 to 2,535.

More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: 791. Middle half: 360 to 2,030.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Jackson, TN (2024, 49 clinicians with data). Median for this group: $83,683. Middle half: $59,016 to $130,356.

A higher Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: $69,187. Middle half: $31,162 to $121,898.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Internal Medicine in Jackson, TN (2024, 49 clinicians with data). Median for this group: $68,636. Middle half: $46,079 to $102,186.

A higher Medicare payment amount than 75% of clinicians listed under Internal Medicine in Tennessee (2024, 1,611 clinicians with data). Median for this group: $53,796. Middle half: $24,059 to $94,420.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Jackson, TN (2024, 48 clinicians with data). Median for this group: 318. Middle half: 108 to 4,281.

Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Tennessee (2024, 1,686 clinicians with data). Median for this group: 933. Middle half: 139 to 6,843.

Part D drug cost

Close to the middle for clinicians listed under Internal Medicine in Jackson, TN (2024, 48 clinicians with data). Median for this group: $15,339. Middle half: $2,613 to $242,687.

A lower Part D drug cost than 65% of clinicians listed under Internal Medicine in Tennessee (2024, 1,686 clinicians with data). Median for this group: $71,826. Middle half: $7,500 to $530,936.

64 active clinicians are listed under Internal Medicine with a practice address in Jackson, TN (2,599 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

4.7% of these 64 clinicians have the CMS telehealth indicator.

76.6% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2020
Disclosure Year:

Program year 2020 (payments made January 1 โ€“ December 31, 2020): fewer than 11 records totaling $11.12.

Manufacturer Payment Nature Product Type Amount ($)
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
BRILINTA General $11.12

Source: CMS Open Payments, program year 2020, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Furosemide Furosemide 27 770 $54.97 23
Prednisone Prednisone 26 425 $55.75 23
Levofloxacin Levofloxacin 22 101 $41.19 21
Cephalexin Cephalexin 17 85 $95.04 16
Metoprolol Succinate Metoprolol Succinate 17 465 $93.97 15
Eliquis Apixaban 15 690 $12,919.61 โ€”
Atorvastatin Calcium Atorvastatin Calcium 14 478 $94.43 13
Oxycodone Hcl Oxycodone Hcl 13 41 $28.86 13
Pantoprazole Sodium Pantoprazole Sodium 11 358 $61.19 11
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 11 43 $36.30 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-15
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES 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

License # reported to NPPES TN 3196

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20201124000144

Enrollment State Jurisdiction

DC

PECOS Control ID

6901178946

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Oshin Bansode , MD

Internal Medicine

NPI 1538789706

Doctor of Medicine (M.D.)

Dr. Ashley Brewer , MD

Family Medicine - Addiction Medicine

NPI 1417086547

Doctor of Medicine (M.D.)

NPI 1699954636

Doctor of Medicine (M.D.)

Dr. Ciara Larocca , MD

Internal Medicine

NPI 1891373502

Doctor of Medicine (M.D.)

Dr. Melissa Mooney , MD

Internal Medicine

NPI 1386030914

Doctor of Medicine (M.D.)

Dr. Belal Saleh , DO

Internal Medicine

NPI 1710332846

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active October 25, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location October 25, 2017

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

๐Ÿ“
Updated Business Mailing Address October 25, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated October 25, 2017

Recorded as PETER SHI, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2017

Internal Medicine (license number reported to NPPES: TN 3196)

โœ…
NPI Profile Active April 22, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 22, 2014

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

๐Ÿ“
Business Mailing Address (Initial Record) April 22, 2014

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 22, 2014

Recorded as PETER SHI, D.O.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2014

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 22, 2014

First registered as active Individual Practitioner in NPPES Database.

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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

Other Internal Medicine Providers in Jackson

All Internal Medicine Providers in Jackson

Mailing Address

1804 Highway 45 Byp Ste 604

Jackson, TN 383054403

Phone: 7316608781

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.