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
8 nearest nephrology physician records → All 174 in Kentucky → Look up another NPI →
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).
Matthew Shea among 174 nephrology physician records in Kentucky
Matthew Shea, DO is one of 174 nephrology physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 83% of them.
- NPI issued2015 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 84% of these records are
- Graduated2016 · median 2003 among the 146 with a school on file
- Record last updated2022 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Nephrology Physician providers in Kentucky
There are 174 nephrology physician records in Kentucky.
All 174 in Kentucky → Every provider in Somerset → Nephrology Physician nationwide →
The 8 nephrology physician records with the nearest ZIP codes
- Harold Helton, M.D.Somerset, KY 425031063404481
- Timi Akins, MDMadisonville, KY 424311023099561
- Robert Libbey, M.D.Henderson, KY 424201700838539
- Khalid Bhatti, M.D.Elizabethtown, KY 427011497824114
- Mustafa Muhammad, M.DElizabethtown, KY 427011598116782
- Mahendra Patel, M.D.Elizabethtown, KY 427011043389885
- Hamza Arif, M.D.Owensboro, KY 423031699161240
- Dhiren Haria, M.D.Owensboro, KY 423031861434565
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.