MR. GRADY D SHAVER DMD
NPI 1093049306
Dentist in Pendleton, OR

Q: What is Grady Shaver's NPI number?

The NPI number for Grady Shaver is 1093049306. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Q: What is Grady Shaver's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Grady Shaver was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 21, 2009PECOS Enrolled

73265 CONFEDERATED WAY, PENDLETON, OR 97801(541) 966-9830(541) 278-7590 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Grady D Shaver Dmd NPPES

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

MR. GRADY D SHAVER DMD (NPI 1093049306) is an individual dentist in Pendleton, Oregon, licensed in Oregon (D9825) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093049306

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. GRADY D SHAVERCredential: DMD

Location Address73265 CONFEDERATED WAYPendleton, OR 97801-0160

Mailing AddressPo Box 160Pendleton, OR 97801-0160 · (541) 966-9830 · Fax (541) 278-7590

Phone(541) 966-9830

Fax(541) 278-7590

Sole ProprietorNo

Enumeration DateSeptember 21, 2009

Last NPPES UpdateMarch 9, 2016

✔ NPI 1093049306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OR · D9825✔ Licensed in WA · DE60114016

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

73265 CONFEDERATED WAY, Pendleton, OR 97801

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Other Identifiers 1

Medicaid500653068OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Grady D Shaver Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97801 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

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.

SHELIA HELENE COE

Dentist