AUSTIN O'SHEA
NPI 1346794930
Physician Assistant - Surgical in Billings, MT
NPI Status: Active since August 11, 2016
Contact Information
2900 12TH AVE N STE 140W
BILLINGS, MT
ZIP 59101
Phone: (406) 237-5050
Fax: (406) 238-6599
- Individual
- Male
- Years of Experience 10
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About AUSTIN O'SHEA
This page provides the complete NPI Profile along with additional information for Austin O'shea, a provider established in Billings, Montana with a medical specialization in Physician Assistant, focusing in surgical and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1346794930 assigned on August 2016. The practitioner's primary taxonomy code is 363AS0400X with license number MED-PAC-LIC-51936 (MT). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1346794930
- Provider Name
- AUSTIN O'SHEA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2900 12TH AVE N STE 140W BILLINGS, MT 59101
- Location Phone
- (406) 237-5050
- Location Fax
- (406) 238-6599
- Mailing Address
- 2900 12TH AVE N STE 140W BILLINGS, MT 59101
- Mailing Phone
- (406) 237-5050
- Mailing Fax
- (406) 238-6599
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-11-2016
- Last Update Date
- 12-14-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MED-PAC-LIC-51936
- License State
- MT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? 902 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? 903 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Austin O'shea is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Austin O'shea is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3870877251
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170302001696
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Hernia repair (minimally invasive)
Hospital discharge day management, 30 minutes or less
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 15 times for 12 patientsHernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
This service was performed for 1-10 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 18 times for 18 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 98% | 1396 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 100% | 707 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 41% | 961 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Promote Use of Patient-Reported Outcome Tools | Yes | N/A |
| Demonstrate performance of activities for employing patient-reported outcome (PRO) tools and corresponding collection of PRO data such as the use of PQH-2 or PHQ-9, PROMIS instruments, patient reported Wound-Quality of Life (QoL), patient reported Wound Outcome, and patient reported Nutritional Screening. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 11% | 1451 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Austin O'shea is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BILLINGS CLINIC | 2800 10TH AVE N BILLINGS, MT 59101 | (406) 657-4000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 7 | 9 | 4 | 9 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 14 | 9 | 8 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 4 + 9 + 8 + 9 + 6 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1346794930 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790782043 | MS. GWENNA PETERS P.T. Individual | Physical Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1063457653 | RANDALL N GLASER P.A. Individual | Physician Assistant | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1841388832 | DR. ZACHARY BOYER SCHEER MD Individual | Orthopaedic Surgery | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 238-6726 |
| 1588848956 | GRANITE PHYSICAL THERAPY & SPORTS Organization | Physical Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1255504254 | DR. BENJAMIN K PHIPPS MD Individual | Family Medicine | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1750601878 | ORTHO MONTANA, PSC Organization | Orthopaedic Surgery | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1982883641 | DR. BRIAN JAMES DRAKE D.O. Individual | Orthopaedic Surgery | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1952658379 | STACY A MOLT ATC Individual | Specialist/Technologist (Athletic Trainer) | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1750625687 | LAUREN H RUCKER PA-C Individual | Physician Assistant | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1841533411 | WALTER BROPHY Individual | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 | |
| 1699702076 | JAMIE L MCMILLAN O.T.R Individual | Occupational Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1871783811 | DR. THOMAS A SALAZAR JR. P.T. Individual | Physical Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1790950889 | THOMAS OWEN MD Individual | Orthopaedic Surgery (Hand Surgery) | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1003244427 | JONATHAN W GRIFFITH DPT Individual | Physical Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1306212816 | DUNCAN BOOTHBY Individual | Occupational Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1548619786 | JOSH MARK MORLEY ATC, LAT Individual | Specialist/Technologist (Athletic Trainer) | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1407880396 | DEBORAH A JOHNSTON PA-C Individual | Family Medicine | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1508112954 | JAIMEE TURLEY DPT Individual | Physical Therapist | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1316236433 | KYLE LYBRAND MD Individual | Orthopaedic Surgery | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
| 1649799297 | LIBBY N CLOSE PA-C Individual | Physician Assistant | 2900 12TH AVE N STE 140W BILLINGS, MT 59101 (406) 237-5050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346794930, enumerated in the NPI registry as an "individual" on August 11, 2016
The provider is located at 2900 12th Ave N Ste 140w Billings, Mt 59101 and the phone number is (406) 237-5050
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 10 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Hernia repair (minimally invasive) and Hospital discharge day management, 30 minutes or less.
The practitioner is affiliated to the following hospital(s): BILLINGS CLINIC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.