Dr. Sophie G. Shay M.D.
Otolaryngologist
She is located at 9000 West Wisconsin Avenue in Milwaukee, WI 53226. Can help patients with the following: Assistive Listening Devices, Ear Wax, Impacted Earwax, Oral Cancer, Sinusitis, Vertigo. Her National Provider Identifier (NPI) number is 1235497181. Appointment can be made via the phone number (414) 266-6460.
Conditions treated
Dr. Sophie Grace Shay, being an otolaryngologist, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Sophie G. Shay.
- Allergic Reaction
- Assistive Listening Devices
- Auditory Processing Disorder
- Aural Rehabilitation
- Bad Breath
- Cancer
- Cauliflower Ear
- Chronic Cough
- Chronic Rhinitis
- Cleft Palate and Cleft Lip
- Deafness
- Deviated Septum
- Dizziness
- Ear Infection
- Ear Wax
- Eustachian Tube Problems
- Eye Allergy
- Hay Fever
- Headache
- Hearing Conservation
- Impacted Earwax
- Inner Ear Disorders
- Laryngitis
- Middle Ear Infection
- Nasal Polyps
- Newborn or Infant Hearing Screening
- Noise Sensitivity
- Noise-Induced Hearing Loss (NIHL)
- Nosebleed
- Oral Cancer
- Otoacoustic Emission Test (OAE)
- Peripheral Nerve Tumors
- Sinus Tract
- Sinusitis
- Sleep Apnea
- Sleep Disorders
- Sore Throat
- Swallowing Disorders
- Swimmer's Ear
- Taste Disorders
- Tinnitus
- Tongue Problems
- Usher Syndrome
- Vertigo
- Vestibular Testing
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Sophie G. Shay as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Mar 25, 2026, as reported by the insurer.
Show all 18 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) (5 plan variants) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) (5 plan variants) | HMO · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
Aspirus Health Plan
Network data as of Mar 13, 2024, as reported by the insurer.
Show all 12 plans from Aspirus Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| HMO Bronze $0 Medical Deductible | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 10000 | HMO · Bronze | Aspirussign | Accepting new patients |
| HMO Bronze 7500 | HMO · Expanded Bronze | Aspirussign | Accepting new patients |
| HMO Catastrophic 10600 with 3 free PCP visits | HMO · Catastrophic | Aspirussign | Accepting new patients |
| HMO Gold 2000 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO Gold 2700 | HMO · Gold | Aspirussign | Accepting new patients |
| HMO HDHP Silver 5900 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6000 | HMO · Silver | Aspirussign | Accepting new patients |
| HMO Silver 6600 | HMO · Silver | Aspirussign | Accepting new patients |
| POS Bronze 7500 | POS · Expanded Bronze | Aspirussign | Accepting new patients |
| POS Bronze 8500 | POS · Bronze | Aspirussign | Accepting new patients |
| POS Silver 6000 | POS · Silver | Aspirussign | Accepting new patients |
CareSource (Common Ground Healthcare)
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 18 plans from CareSource (Common Ground Healthcare)
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam | EPO · Expanded Bronze | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam | EPO · Gold | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 | EPO · Silver | Preferred | Accepting new patients |
| CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam | EPO · Silver | Preferred | Accepting new patients |
HealthPartners
Network data as of Feb 10, 2026, as reported by the insurer.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Oak $1,300 Gold | PPO · Gold | Network | Accepting new patients |
| Oak $2,000 Standard Gold | PPO · Gold | Network | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 13 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Sophie G. Shay is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Sophie G. Shay is enrolled to bill Medicare as a Practitioner - Otolaryngology (also registered under: Practitioner - Pediatric Medicine) .
Bills through: The Medical College Of Wisconsin Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Intersect Ent | $921 |
| Stryker | $185 |
| Cook Medical | $115 |
Other
| Food and Beverage | $1077 |
| Travel and Lodging | $146 |
Looking for more Otolaryngologists?
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Questions & Answers
Where can you meet with Dr. Sophie Grace Shay?
Dr. Sophie Grace Shay's office is located at 9000 West Wisconsin Avenue in Milwaukee, WI 53226.
What conditions does Dr. Sophie Grace Shay treat?
Dr. Sophie Grace Shay provides treatment for Assistive Listening Devices, Ear Wax, Impacted Earwax, Oral Cancer, Sinusitis, Vertigo. For the full list see this list.
Does Dr. Sophie Grace Shay accept insurance?
Dr. Sophie Grace Shay is listed in-network for 63 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, UnitedHealthcare. See the Marketplace plans section for details.