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DR. SHANE GRIFFITH D.O.
NPI 1114346251
Otolaryngology in Brunswick, ME

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
81 MEDICAL CENTER DR STE 1150, BRUNSWICK, ME 04011(207) 721-0911(207) 721-9729 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2021, Jan 2, 2020, Jul 30, 2019 (3 updates tracked since 2019).

About Dr. Shane Griffith D.o. NPPES

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

DR. SHANE GRIFFITH D.O. (NPI 1114346251) is an individual otolaryngology provider in Brunswick, Maine, licensed in Maine (DO2892) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114346251
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SHANE GRIFFITHCredential: D.O.
Location Address81 MEDICAL CENTER DR STE 1150Brunswick, ME 04011-2765
Mailing Address81 Medical Center Dr Ste 1150Brunswick, ME 04011-2765 · (207) 721-0911 · Fax (207) 721-9729
Phone(207) 721-0911
Fax(207) 721-9729
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateMay 7, 20213 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1114346251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in ME · DO2892✔ Licensed in PA · OT015658
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
81 MEDICAL CENTER DR STE 1150, Brunswick, ME 04011
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15515 Peach StErie, PA 16509-2603 · Phone (814) 868-8206
Location 293 Campus Ave I2 WingLewiston, ME 04240-6030 · Phone (207) 777-8650 · Fax (207) 777-8641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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 Griffith D.o. 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 ID8820307960
PECOS Enrollment IDI20190801001556
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

3

Medicare enrollment records show Shane Griffith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
0.3 mi
Multi-Specialty
123 MEDICAL CENTER DR
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1902422561 (207) 729-0181
St. Mary's Regional Medical Center
20 mi
General Acute Care Hospital
93 CAMPUS AVE
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: St Marys Regional Medical Center
  • 381 clinicians in this Medicare group
NPI 1447226584 (207) 777-8100
Mainegeneral Medical Center
32 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454

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 11

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.

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.
128 services97 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
73 services52 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.
45 services36 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.
45 services37 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
36 services36 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04011 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. BO PANG DO
Otolaryngology (Facial Plastic Surgery)
81 MEDICAL CENTER DR STE 1150
BRUNSWICK, ME 04011
Cumberland County (207) 721-0911
DR. MARIELLE ELISE ARNOLD AU.D, CCC-A
Audiologist
81 MEDICAL CENTER DR STE 1150
BRUNSWICK, ME 04011
Cumberland County (207) 373-7418

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 Griffith's NPI number?

The NPI number for Shane Griffith is 1114346251. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Shane Griffith located?

Shane Griffith practices at 81 Medical Center Dr Ste 1150, Brunswick, ME 04011. The listed phone number is (207) 721-0911.

What is Shane Griffith's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shane Griffith enrolled in Medicare?

Yes. Shane Griffith 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 organizations bill Medicare for Shane Griffith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Griffith reassigns Medicare benefits to 3 organizations: Mainehealth (Brunswick, ME), St. Mary's Regional Medical Center (Lewiston, ME) and Mainegeneral Medical Center (Augusta, ME). Each 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 Griffith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Griffith accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Shane Griffith 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 Griffith affiliated with any hospitals?

According to CMS data, Shane Griffith is affiliated with Mid Coast Hospital and Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Griffith was last updated on May 7, 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.