Doctor profile · Federal record
Dr. Matthew Shea, DO
Nephrology Physician (CMS: Internal Medicine) · Internal Medicine Physician · Somerset, KY
- NPI 1700270949
- Accepts Medicare
- MIPS 62.3 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
104 Hardin Ln Ste A
Somerset, KY 425033800
(606) 678-2063 - Additional location
-
350 Hospital Way Ste 101
Somerset, KY 425032872
(606) 451-5093 - Additional location
-
University of Kentucky, 800 Rose Street
Lexington, KY 40536
(859) 323-2636
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- June 2, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RN0300X — NUCC code
- State license (1)
- Kentucky #04163
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700270949. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,247
Distinct HCPCS
10
Medicare allowed
$212,684
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90960 |
Dialysis services, 4 or more physician visits per month (20 years or older) | 361 | 70 | $332 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 203 | 81 | $75 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 201 | 133 | $118 | |
90935 |
Hemodialysis procedure with physician evaluation | 138 | 46 | $68 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 115 | 58 | $113 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $155 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 63 | $164 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 37 | 18 | $47 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 24 | $84 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 19 | 15 | $123 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 134. This provider delivers 9.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
680
Patients
170
Total drug cost
$221,783
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Furosemide | Generic | 104 | 34 | $429 |
| Torsemide | Generic | 77 | 27 | $2,467 |
| Calcium Acetate | Generic | 68 | 19 | $11,687 |
| Amlodipine Besylate | Generic | 66 | 22 | $632 |
| Sevelamer Carbonate | Generic | 55 | 11 | $39,630 |
| Potassium Chloride | Generic | 52 | 15 | $936 |
| Losartan Potassium | Generic | 47 | 16 | $421 |
| Spironolactone | Generic | 37 | 13 | $637 |
| Lisinopril | Generic | 33 | 0 | $222 |
| Velphoro (Sucroferric Oxyhydroxide) | Brand | 30 | 0 | $101,165 |
Frequently asked questions
What is Dr. Matthew Shea's medical specialty?
Dr. Matthew Shea practices Nephrology Physician in Somerset, KY.
Where does Dr. Matthew Shea practice?
Dr. Matthew Shea practices at 104 Hardin Ln Ste A, Somerset, KY 425033800. Office phone: 6066782063.
What is Dr. Matthew Shea's NPI?
Dr. Matthew Shea's National Provider Identifier (NPI) is 1700270949, issued by NPPES.
Does Dr. Matthew Shea accept Medicare assignment?
Yes. Dr. Matthew Shea accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Shea commonly perform?
Top Medicare-reported procedures in 2023: Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS 90960); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.