SHAWN ROBERT CAMPBELL PA
NPI 1174914857
Physician Assistant in Tonawanda, NY

Active since February 17, 2015PECOS EnrolledAccepts Medicare Assignment
1491 SHERIDAN DR, SUITE 100, TONAWANDA, NY 14217(716) 332-4476(716) 332-4479 Get Directions Write a Review

NPPES record last updated: February 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Robert Campbell Pa NPPES

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

SHAWN ROBERT CAMPBELL PA (NPI 1174914857) is an individual physician assistant in Tonawanda, New York, licensed in New York (23 018431) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174914857
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHAWN ROBERT CAMPBELLCredential: PA
Location Address1491 SHERIDAN DR, SUITE 100Tonawanda, NY 14217-1234
Mailing Address1491 Sheridan Dr, Suite 100Tonawanda, NY 14217-1234 · (716) 332-4476 · Fax (716) 332-4479
Fax(716) 332-4479
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 17, 2015
NPI 1174914857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 23 018431
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1491 SHERIDAN DR, Tonawanda, NY 14217

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

Shawn Robert Campbell Pa 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 ID5092033662
PECOS Enrollment IDI20150410000088
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 8

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 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.
129 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
64 services53 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
64 services35 patients
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.
64 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers19 claims72 services$5.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier16 claims16 services$27.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Urology (Pediatric Urology)
1491 SHERIDAN DR, SUITE 600
KENMORE, NY 14217
Durable Medical Equipment & Medical Supplies
1491 SHERIDAN DR, SUITE 500
TONAWANDA, NY 14217
Physician Assistant
1491 SHERIDAN DR
TONAWANDA, NY 14217
Physician Assistant
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Internal Medicine
1491 SHERIDAN DR
TONAWANDA, NY 14217
Internal Medicine
1491 SHERIDAN DR
TONAWANDA, NY 14217
Internal Medicine
1491 SHERIDAN DR, SHERIDAN MEDICAL GROUP
TONAWANDA, NY 14217
Nurse Practitioner (Psychiatric/Mental Health)
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217

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 Shawn Campbell's NPI number?

The NPI number for Shawn Campbell is 1174914857. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Shawn Campbell located?

Shawn Campbell practices at 1491 Sheridan Dr Suite 100, Tonawanda, NY 14217. The listed phone number is (716) 332-4476.

What is Shawn Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawn Campbell enrolled in Medicare?

Yes. Shawn Campbell 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.

Is Shawn Campbell affiliated with any hospitals?

According to CMS data, Shawn Campbell is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Shawn Campbell was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.