NPIMap

Individual provider Active NPI

Shawn R Pawson, MD

  • Internal Medicine Physician
  • Gloucester, MA
National Provider Identifier
1659322758
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226080 Issued in MA
Practice address
1 Blackburn Dr
Gloucester, MA 01930-2237
Phone
(978) 281-1500
Fax
(978) 282-3699
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 226080 MA Primary

Addresses

Primary practice location

1 Blackburn Dr
Gloucester, MA 01930-2237

Mailing address

1 Blackburn Dr
Gloucester, MA 01930-2237
Phone (978) 281-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060724000158 MA Practitioner - Internal Medicine 7517970254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Ann Medical Center LLCGroup PAC ID 7214258623, 6 clinicians

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 281-1500

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • All Care Vna-Greater Lynn Inc Home health agency, Lynn, MA, CCN 227263
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522
  • Beth Israel Lahey Health at Home Hospice, Danvers, MA, CCN 221541
  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Spaulding Rehabilitation Hospital Inpatient rehabilitation facility, Charlestown, MA, CCN 223034

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226080MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Ann Medical Center LLC Internal Medicine CurrentSince Mar 16, 2015 Accepting new patients
Lahey Clinic, Inc. Internal Medicine Past Accepting new patients

Locations

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

1 Blackburn Dr
Ste 1
Gloucester, MA 01930

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1659322758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302237",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWSON",
        "first_name": "SHAWN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "226080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.