JOHN C SHAW MD
NPI 1629042197
Orthopaedic Surgery in Louisville, KY
NPI Status: Active since February 14, 2006
Contact Information
220 ABRAHAM FLEXNER WAY
SUITE 1100
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-3377
Fax: (502) 584-1385
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
About JOHN SHAW
This page provides the complete NPI Profile along with additional information for John Shaw, a provider established in Louisville, Kentucky with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1629042197 assigned on February 2006. The practitioner's primary taxonomy code is 207X00000X with license number 24102 (KY). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1629042197
- Provider Name
- JOHN C SHAW MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 220 ABRAHAM FLEXNER WAY SUITE 1100 LOUISVILLE, KY 40202
- Location Phone
- (502) 584-3377
- Location Fax
- (502) 584-1385
- Mailing Address
- PO BOX 909 LOUISVILLE, KY 40201
- Mailing Phone
- (502) 584-3377
- Mailing Fax
- (502) 584-1385
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-14-2006
- Last Update Date
- 01-11-2019
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24102
- License State
- KY
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 01035377A (IN) |
| 2 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 01035377A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000048660 | OTHER (01) | KY | ANTHEM |
| 64241029 | MEDICAID (05) | KY | |
| 2432935000 | OTHER (01) | KY | PASSPORT ADVANTAGE |
| 100359260 | MEDICAID (05) | IN | |
| 1050654 | OTHER (01) | KY | PASSPORT |
| P00003389 | OTHER (01) | IN | IND RAILROAD MEDICARE |
| 250002297 | OTHER (01) | KY | KY RAILROAD MEDICARE |
| 61-1086535 | OTHER (01) | KY | TAX ID |
Medicare Participation & PECOS Enrollment Status
John Shaw 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40202 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.24
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $16.56
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 6 | 2 | 9 | 0 | 4 | 2 | 1 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 0 | 4 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 0 + 4 + 4 + 1 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1629042197 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1568460715 | IRENE LITVAN M.D. Individual | Psychiatry & Neurology (Neurology) | 220 ABRAHAM FLEXNER WAY SUITE 1503 LOUISVILLE, KY 40202 (502) 589-0802 |
| 1790759314 | DEANA M. MENIKOFF PA-C Individual | Physician Assistant | 220 ABRAHAM FLEXNER WAY SUITE 500 LOUISVILLE, KY 40202 (502) 584-3376 |
| 1366416554 | DAVID R. WATKINS M.D. Individual | Physical Medicine & Rehabilitation | 220 ABRAHAM FLEXNER WAY SUITE 500 LOUISVILLE, KY 40202 (502) 584-3376 |
| 1922027044 | DARRYL L KAELIN MD Individual | Physical Medicine & Rehabilitation | 220 ABRAHAM FLEXNER WAY SUITE 1100 LOUISVILLE, KY 40202 (502) 584-3377 |
| 1720180177 | ELIZABETH W MCKUNE ED.D. Individual | Psychologist | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 582-7400 |
| 1043435506 | ABBIE BEACHAM PH.D. Individual | Psychologist (Clinical) | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 582-7484 |
| 1861610651 | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. Organization | Psychiatric Unit | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 587-4011 |
| 1417194333 | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. Organization | Rehabilitation Unit | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 582-7400 |
| 1740586684 | SHANNON SEBASTIAN VOOR PH.D. Individual | Clinical Neuropsychologist | 220 ABRAHAM FLEXNER WAY PSYCHOLOGY DEPARTMENT 6TH FLOOR LOUISVILLE, KY 40202 (502) 582-7484 |
| 1770858318 | UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION Organization | Physical Medicine & Rehabilitation | 220 ABRAHAM FLEXNER WAY SUITE 1100 LOUISVILLE, KY 40202 (502) 584-3377 |
| 1407992951 | JEWISH HOSPITAL & ST MARYS HEALTHCARE INC Organization | Pharmacy (Specialty Pharmacy) | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 561-3905 |
| 1174646053 | DR. MEGAN BALE NELSON M.D. Individual | Physical Medicine & Rehabilitation | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 540-1409 |
| 1063667012 | JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC. Organization | Rehabilitation Hospital | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 582-7484 |
| 1831223312 | DR. TERI L MAYNARD Individual | Psychologist | 220 ABRAHAM FLEXNER WAY 6TH FLOOR-PSYCHOLOGY DEPARTMENT LOUISVILLE, KY 40202 (502) 582-7484 |
| 1710315676 | PATRICIA WEITER PSY.D. Individual | Psychologist (Clinical) | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (502) 582-7494 |
| 1740532787 | LINDSAY BROOKE MCELMURRAY PA-C Individual | Physician Assistant | 220 ABRAHAM FLEXNER WAY SUITE 300 LOUISVILLE, KY 40202 (502) 540-1420 |
| 1013172865 | KARA A LONSER PSYD Individual | Psychologist (Clinical) | 220 ABRAHAM FLEXNER WAY STE #1200 LOUISVILLE, KY 40202 (502) 899-3623 |
| 1619327178 | NICOLE LYNNE ROSSILLO PT, DPT Individual | Physical Therapist (Neurology) | 220 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 (317) 319-4028 |
| 1306283866 | JENNIFER MARGARET THOMAS M.D Individual | Physical Medicine & Rehabilitation | 220 ABRAHAM FLEXNER WAY 12TH FLOOR LOUISVILLE, KY 40202 (502) 584-3377 |
| 1467444125 | ROBERT ALLEN UNDERWOOD PH.D. Individual | Psychologist (Clinical) | 220 ABRAHAM FLEXNER WAY 6TH FLOOR PSYCHOLOGY DEPARTMENT LOUISVILLE, KY 40202 (502) 582-7484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629042197, enumerated in the NPI registry as an "individual" on February 14, 2006
The provider is located at 220 Abraham Flexner Way Suite 1100 Louisville, Ky 40202 and the phone number is (502) 584-3377
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare, Medicaid. 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.
Medicare beneficiaries should expect a typical cost of $82.24 with an average copayment of $20.56 for new patient appointments. Established patients should expect a typical charge of $66.24 and an average copayment of 16.56. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 14, 2006. 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].
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