Doctor profile · Federal record

Dr. Kenneth Shaw, M.D.

Emergency Medicine Physician · Sevierville, TN

  • NPI 1124060249
  • 20 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
709 Middle Creek RD
Sevierville, TN 378625047
(865) 453-7111
Mailing address
Po Box 634706
Cincinnati, OH 452630001

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
November 29, 2007
Specialty taxonomy
207P00000X — NUCC code
State license (1)
Tennessee #MD021361
Medicaid (3)
TN #3816910 · TN #3816911 · KY #64035975

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124060249. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
270
Distinct HCPCS
3
Medicare allowed
$37,731
HCPCS Description Services Patients Avg allowed
99285 Emergency department visit with high level of medical decision making 163 153 $163
99284 Emergency department visit with moderate level of medical decision making 85 81 $113
99283 Emergency department visit with low level of medical decision making 22 22 $67

In context: peer comparison

Among 5 peers in this city , average services per provider: 108. This provider delivers 2.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
63
Patients
63
Total drug cost
$335
Drug Type Claims Patients Total cost
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 46 46 $140
Cefdinir Generic 17 17 $195

Frequently asked questions

Auto-generated from federal data
What is Dr. Kenneth Shaw's medical specialty?
Dr. Kenneth Shaw practices Emergency Medicine Physician in Sevierville, TN.
Where does Dr. Kenneth Shaw practice?
Dr. Kenneth Shaw practices at 709 Middle Creek RD, Sevierville, TN 378625047. Office phone: 8654537111.
What is Dr. Kenneth Shaw's NPI?
Dr. Kenneth Shaw's National Provider Identifier (NPI) is 1124060249, issued by NPPES.
What procedures does Dr. Kenneth Shaw commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.