Gary Thomas Shaw, M.D.
NPI 1568542306ActiveIndividual· Radiology, Vascular & Interventional Radiology· Santa Rosa, CA
Radiology, Vascular & Interventional Radiology (M.D.) in Santa Rosa, California, trained at University of Arizona College of Medicine (class of 1983). Medicare paid $110,753 for services to 3,269 patients in 2024.
Overview
| NPI | 1568542306 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | Jun 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | G54948 | CA |
| Radiology, Body Imaging | 2085B0100X | G54948 | CA |
| Radiology, Neuroradiology, Nuclear Radiology | 2085N0904X | G54948 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | G54948 | CA |
| Radiology, Diagnostic Ultrasound | 2085U0001X | G54948 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 3,269 |
|---|---|
| Services billed | 4,508 across 127 procedure codes |
| Paid by Medicare | $110,753 |
Education and affiliations
| Medical school | University of Arizona College of Medicine |
|---|---|
| Graduation year | 1983 |
| Medicare specialty | Diagnostic Radiology |
| Secondary specialties | Interventional Radiology |
Medical groups
- Radia Inc P SSeattle, WA · 277 clinicians
- Radia California Radiology Medical Group IncMarietta, OH · 136 clinicians
Hospital affiliations
- Legacy Salmon Creek Medical CenterVancouver, WA
- Peacehealth Southwest Medical CenteVancouver, WA
- Petaluma Valley HospitalPetaluma, CA
- Providence Santa Rosa Memorial HospitalSanta Rosa, CA
- Providence St Peter HospitalOlympia, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Radiology, Vascular & Interventional Radiology providers in Santa Rosa
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