DR. SHANE MATTHEW GJESDAL MD
NPI 1164424586
Obstetrics & Gynecology in Albany, OR

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
91.4/100
CMS Quality Rating
705 ELM ST SW, SUITE 200, ALBANY, OR 97321(541) 812-4850(541) 812-4889 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2020, Oct 28, 2020 (2 updates tracked since 2020).

About Dr. Shane Matthew Gjesdal Md NPPES

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

DR. SHANE MATTHEW GJESDAL MD (NPI 1164424586) is an individual obstetrics & gynecology provider in Albany, Oregon, licensed in Oregon (MD29109) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1998).

NPPES Registry Identity

NPI1164424586
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SHANE MATTHEW GJESDALCredential: MD
Location Address705 ELM ST SW, SUITE 200Albany, OR 97321-1956
Mailing AddressPo Box 1188Corvallis, OR 97339-1188 · (541) 812-4850
Fax(541) 812-4889
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1998
Enumeration DateAugust 15, 2005
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedNovember 3, 2020
NPI 1164424586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OR · MD29109
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

705 ELM ST SW, Albany, OR 97321

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 Matthew Gjesdal Md 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 ID6103970132
PECOS Enrollment IDI20090811000042
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.

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.
20 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380014
Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County
Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380022
Location1046 6th Avenue SWAlbany, OR 97321 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97321 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
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.

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.

91.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 10

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

Surgery
705 ELM ST SW, SUITE 300
ALBANY, OR 97321
Obstetrics & Gynecology
705 ELM ST SW, SUITE 200
ALBANY, OR 97321
Physician Assistant
705 ELM ST SW, SUITE 300
ALBANY, OR 97321
Obstetrics & Gynecology
705 ELM ST SW, SUITE 200
ALBANY, OR 97321
Surgery
705 ELM ST SW, SUITE 300
ALBANY, OR 97321
Obstetrics & Gynecology
705 ELM ST SW, SUITE 200
ALBANY, OR 97321
Surgery
705 ELM ST SW, SUITE 300
ALBANY, OR 97321
Obstetrics & Gynecology
705 ELM ST SW
ALBANY, OR 97321

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 Gjesdal's NPI number?

The NPI number for Shane Gjesdal is 1164424586. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Shane Gjesdal located?

Shane Gjesdal practices at 705 Elm St SW Suite 200, Albany, OR 97321. The listed phone number is (541) 812-4850.

What is Shane Gjesdal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shane Gjesdal enrolled in Medicare?

Yes. Shane Gjesdal 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 Gjesdal accept?

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

According to CMS data, Shane Gjesdal is affiliated with Good Samaritan Regional Medical Center and Samaritan Albany General Hospital.

When was this NPI record last updated?

The NPPES record for Shane Gjesdal was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.