Matthew Shea, DO
Nephrology Physician · Somerset, KY
Matthew Shea, DO is a nephrology physician with a practice address in Somerset, Kentucky, and NPI 1700270949, issued on Mar 25, 2015. Check the license (Kentucky 04163, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Matthew Shea
- Credential
- DO
- Primary taxonomy
- Nephrology Physician 207RN0300X
- License number
- 04163 KY
Self-reported in NPPES; status is on the state search - Practice location
- 104 Hardin LN Ste A, Somerset, KY 42503
- Phone
- (606) 678-2063
- Enumerated
- Mar 25, 2015
- Record last updated
- Jun 2, 2022
- Medicare enrollment
- Enrolled (PECOS I20161101002639); accepts Medicare assignment
- Medical or professional school
- University Of Pikeville, Kentucky College Of Osteopathic Med, 2016
- Entity
- Type 1 · individual
Also registered at 104 Hardin LN Ste A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Harold Helton, M.D.Nephrology Physician1063404481
- Robert Johnson, NPAdult Health Nurse Practitioner1417467010
Verify Matthew Shea in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 04163Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
37% fewer Medicare Part D claims than the average nephrology physician in 2024
925 Medicare Part D claims for 162 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.
Most prescribed
- Torsemide115 claims
- Furosemide96 claims
- Amlodipine Besylate69 claims
- Calcium Acetate65 claims
- Sevelamer Carbonate63 claims
- Potassium Chloride57 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 65.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Nephrology Physician providers in Kentucky
There are 174 nephrology physician records in Kentucky.
Other nephrology physician records in Kentucky
- Shafic Abdul Wahab El Hindi, M.D.Louisville, KY1487979456
- Hisham Abu FarsakPaducah, KY1346736857
- Paul Adams, M.D.Lexington, KY1487069845
- Alexander Afanasyev, MDLouisville, KY1972505030
- Kenneth Afenya, M.D.Lexington, KY1558593210
- Hafiz Ahmad, MDDanville, KY1124011143
- Sadiq Ahmed, M.D.Lexington, KY1912920679
- Rizwan Akhtar, M.D.Richmond, KY1669695649
- Timi Akins, MDMadisonville, KY1023099561
- Yaser Al-Solaiman, MDLouisville, KY1922271089
Common questions
What is Matthew Shea, DO's NPI number?
Matthew Shea, DO's National Provider Identifier (NPI) is 1700270949, issued on Mar 25, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Matthew Shea, DO located?
The NPPES record lists a practice address at 104 Hardin LN Ste A, Somerset, KY, 42503. Phone: (606) 678-2063. Providers update this record themselves, so call before visiting.
How can I verify Matthew Shea, DO's license?
NPPES lists Kentucky license number 04163, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Matthew Shea, DO prescribe under Medicare Part D?
In 2024, Matthew Shea, DO had 925 Medicare Part D claims for 162 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.
What is Matthew Shea, DO's MIPS final score?
The 2023 MIPS final score is 65.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.