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WILLIAM MICHAEL SHIMANEK MD
NPI 1053873067
Psychiatry & Neurology - Neurology in Portland, OR

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2023, Apr 1, 2019 (2 updates tracked since 2019).

About William Michael Shimanek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM MICHAEL SHIMANEK MD (NPI 1053873067) is an individual neurology provider in Portland, Oregon, licensed in Oregon (MD215091) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of University Of Oklahoma College Of Medicine (2019).

NPPES Registry Identity

NPI1053873067
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameWILLIAM MICHAEL SHIMANEKCredential: MD
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8211
Phone(503) 494-8211
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1053873067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OR · MD215091
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Michael Shimanek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618206137
PECOS Enrollment IDI20230824003906
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Legacy Mount Hood Medical Center

Acute Care Hospitals · Gresham, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380025
Location24800 SE Stark StreetGresham, OR 97030 · Multnomah County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRIS ROBERT HEDGES MD, MS, MMM
Emergency Medicine
3181 SW SAM JACKSON PARK RD, # L-102
PORTLAND, OR 97239
Multnomah County (503) 494-2767
DR. BRANDON ZANE HOROWITZ M.D.
Emergency Medicine
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-4833
MARY ANN BROWNING FNP
Nurse Practitioner (Family)
3181 SW SAM JACKSON PARK RD, CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7500
DR. MOHAMUD RAMZANALI DAYA MD, M S
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAILCODE CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-7248
DR. ALFREDO SABBAJ MD
Emergency Medicine
3181 SW SAM JACKSON PARK RD, MAIL CODE: CDW-EM
PORTLAND, OR 97239
Multnomah County (503) 494-1475
ROBERT G HENDRICKSON MD
Emergency Medicine (Medical Toxicology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-9495
DR. JAMES CHRISTOPHER AUSTIN MD
Urology (Pediatric Urology)
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6
PORTLAND, OR 97239
Multnomah County (503) 494-4808
JENNIFER R ANTICK PHD
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD, UHN 80
PORTLAND, OR 97239
Multnomah County (503) 494-7353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Shimanek's NPI number?

The NPI number for William Shimanek is 1053873067. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is William Shimanek located?

William Shimanek practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is William Shimanek's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is William Shimanek enrolled in Medicare?

Yes. William Shimanek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Shimanek accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list William Shimanek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Shimanek affiliated with any hospitals?

According to CMS data, William Shimanek is affiliated with Legacy Emanuel Medical Center, Ohsu Hospital And Clinics, Legacy Good Samaritan Medical Center, Legacy Mount Hood Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for William Shimanek was last updated on July 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.