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DR. SHANE A GAILUSHAS MD
NPI 1073786521
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Cedar Rapids, IA

Active since April 04, 2008PECOS EnrolledAccepts Medicare Assignment
MERCY EAR NOSE AND THROAT CLINIC, 901 8TH AVENUE SE, CEDAR RAPIDS, IA 52401(319) 398-6900(319) 398-6901 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2021, Feb 7, 2021 (2 updates tracked since 2021).

About Dr. Shane A Gailushas Md NPPES

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

DR. SHANE A GAILUSHAS MD (NPI 1073786521) is an individual otolaryngology/facial plastic surgery provider in Cedar Rapids, Iowa, licensed in Iowa (MD-43426) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Tulane University School Of Medicine (2008).

NPPES Registry Identity

NPI1073786521
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. SHANE A GAILUSHASCredential: MD
Location AddressMERCY EAR NOSE AND THROAT CLINIC, 901 8TH AVENUE SECedar Rapids, IA 52401
Mailing AddressMercy Ear Nose And Throat Clinic, 901 8th Avenue SeCedar Rapids, IA 52401 · (319) 398-6900 · Fax (319) 398-6901
Phone(319) 398-6900
Fax(319) 398-6901
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2008
Enumeration DateApril 4, 2008
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1073786521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses✔ Licensed in IA · MD-43426✔ Licensed in UT · 8995595-1205✔ Licensed in NM · MD2015-0203✔ Licensed in MO · 2013015482✔ Licensed in WI · 53757-20✔ Licensed in MT · MED-PHYS-LIC-33185
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
MERCY EAR NOSE AND THROAT CLINIC, Cedar Rapids, IA 52401
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Other Identifiers 1

Medicaid1073786521MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane A Gailushas 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 ID7113160169
PECOS Enrollment IDI20160623000899
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.

Medicare Billing Reassignment

Medicare enrollment records show Shane Gailushas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Practice Center
0.1 mi
Family Medicine
610 8TH ST SE
Cedar Rapids, IA 52401
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Mercy Medical Center
  • 387 clinicians in this Medicare group
NPI 1518946953 (319) 398-6170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
132 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 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.
47 services45 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
31 services26 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

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 Shane Gailushas's NPI number?

The NPI number for Shane Gailushas is 1073786521. It was assigned to this individual provider in the NPPES registry on April 4, 2008.

Where is Shane Gailushas located?

Shane Gailushas practices at Mercy Ear Nose And Throat Clinic 901 8th Avenue SE, Cedar Rapids, IA 52401. The listed phone number is (319) 398-6900.

What is Shane Gailushas's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Shane Gailushas enrolled in Medicare?

Yes. Shane Gailushas 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.

Which organization bills Medicare for Shane Gailushas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Gailushas reassigns Medicare benefits to Family Practice Center (Cedar Rapids, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Gailushas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Gailushas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Shane Gailushas 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 Shane Gailushas affiliated with any hospitals?

According to CMS data, Shane Gailushas is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Shane Gailushas was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.