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DR. SHANE PATRICK SMITH M.D.
NPI 1093177198
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
501 N GRAHAM ST STE 220, PORTLAND, OR 97227(503) 413-6200 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2024, Jul 11, 2021, Jun 22, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Shane Patrick Smith M.d. NPPES

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

DR. SHANE PATRICK SMITH M.D. (NPI 1093177198) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Portland, Oregon, licensed in Oregon (MD218976) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Creighton University School Of Medicine (2016).

NPPES Registry Identity

NPI1093177198
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SHANE PATRICK SMITHCredential: M.D.
Location Address501 N GRAHAM ST STE 220Portland, OR 97227-2014
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900
Phone(503) 413-6200
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateJune 6, 20244 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1093177198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in OR · MD218976
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
501 N GRAHAM ST STE 220, Portland, OR 97227
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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

Dr. Shane Patrick Smith M.d. 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 ID6204120330
PECOS Enrollment IDI20240620003142
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

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 4

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

ALEXANDER FONG MSN, AGACNP-BC
Nurse Practitioner (Acute Care)
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Multnomah County (503) 414-6200
APRIL CALLISTER PA-C
Physician Assistant
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Multnomah County (503) 413-6200
SODASAVANH JOY KHAMSOUKTHAVONG
Clinical Nurse Specialist
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Multnomah County (503) 413-4710
CHRISTINE LASICH AGACNP
Nurse Practitioner
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Multnomah County (503) 413-6200

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 Smith's NPI number?

The NPI number for Shane Smith is 1093177198. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Shane Smith located?

Shane Smith practices at 501 N Graham St Ste 220, Portland, OR 97227. The listed phone number is (503) 413-6200.

What is Shane Smith's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shane Smith enrolled in Medicare?

Yes. Shane Smith 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 Shane Smith accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Shane Smith 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 Smith affiliated with any hospitals?

According to CMS data, Shane Smith is affiliated with Legacy Emanuel Medical Center and Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.