DR. SHANE NATHANIEL MCCAULEY MD
NPI 1083603229
Preventive Medicine - Occupational Medicine in Boise, ID

Q: What is Shane Mccauley's NPI number?

The NPI number for Shane Mccauley is 1083603229. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Q: What is Shane Mccauley's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Shane Mccauley was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 20, 2005PECOS Enrolled

6051 W EMERALD ST, BOISE, ID 83704(208) 302-7600(208) 302-7605 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2019, Apr 10, 2019 (2 updates tracked since 2019).

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About Dr. Shane Nathaniel Mccauley Md NPPES

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

DR. SHANE NATHANIEL MCCAULEY MD (NPI 1083603229) is an individual occupational medicine provider in Boise, Idaho, licensed in Idaho (M-14730) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083603229

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameDR. SHANE NATHANIEL MCCAULEYCredential: MD

Location Address6051 W EMERALD STBoise, ID 83704

Mailing Address3340 E Goldstone Dr.Meridian, ID 83642 · (208) 302-7600 · Fax (208) 302-7605

Phone(208) 302-7600

Fax(208) 302-7605

Sole ProprietorYes

Enumeration DateOctober 20, 2005

Last NPPES UpdateNovember 5, 20192 updates tracked since enumeration

✔ NPI 1083603229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in ID · M-14730

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 01059435A (IN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License 01059435A (IN), M-14730 (ID)

Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 01059435A (IN)

6051 W EMERALD ST, Boise, ID 83704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan 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 (PECOS)

Dr. Shane Nathaniel Mccauley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Shane Mccauley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Alphonsus Regional Medical Center Inc

0.2 mi

Psychologist

1055 N CURTIS RD
Boise, ID 83706

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1649357716 (208) 367-4148

Saint Alphonsus Medical Center- Ontario Inc

46 mi

Internal Medicine

1050 SW 3RD AVE, STE 3200
Ontario, OR 97914

Reassigned Medicare billing, Idaho enrollment
67 clinicians in this Medicare group

NPI 1093034159 (541) 881-7370

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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.

BETHANY KENDALL MAZE FNP

Nurse Practitioner (Family)