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: July 19, 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 maintains a secondary practice location in Indianapolis.

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
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.

501 N GRAHAM ST STE 220, Portland, OR 97227

Secondary Practice Location 1

Location 11701 N Senate AveIndianapolis, IN 46202-5306 · Phone (317) 274-7105

Accepted 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 2024 & 2026 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.

Nurse Practitioner
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Clinical Nurse Specialist
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Nurse Practitioner (Acute Care)
501 N GRAHAM ST STE 220
PORTLAND, OR 97227
Physician Assistant
501 N GRAHAM ST STE 220
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093177198, enumerated as an "individual" on March 28, 2016.

The provider is located at 501 N GRAHAM ST STE 220 PORTLAND, OR 97227 and the phone number is (503) 413-6200.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.

Shane Smith is affiliated with: LEGACY EMANUEL MEDICAL CENTER and LEGACY GOOD SAMARITAN MEDICAL CENTER.