MR. CASEY LEWIS SHAW PA-C
NPI 1184965253
Physician Assistant - Surgical in Salem, OR

Active since March 13, 2013PECOS EnrolledAccepts Medicare Assignment
1600 STATE ST, SALEM, OR 97301(503) 540-6300(503) 540-6404 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Casey Lewis Shaw Pa-c NPPES

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

MR. CASEY LEWIS SHAW PA-C (NPI 1184965253) is an individual surgical provider in Salem, Oregon, licensed in Oregon (PA169608) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1184965253
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. CASEY LEWIS SHAWCredential: PA-C
Location Address1600 STATE STSalem, OR 97301-4257
Mailing Address1600 State StSalem, OR 97301-4257 · (503) 540-6300 · Fax (503) 540-6404
Fax(503) 540-6404
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 13, 2013
Last NPPES UpdateOctober 2, 2014
NPI 1184965253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in OR · PA169608
1600 STATE ST, Salem, OR 97301

Other Identifiers 1

OtherPA169608OR · Medical License

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

Mr. Casey Lewis Shaw Pa-c 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 ID7911128913
PECOS Enrollment IDI20141015002544
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.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Hand Surgery)
1600 STATE ST
SALEM, OR 97301
Orthopaedic Surgery
1600 STATE ST
SALEM, OR 97301
Physician Assistant (Surgical)
1600 STATE ST
SALEM, OR 97301
Physician Assistant
1600 STATE ST
SALEM, OR 97301
Physical Therapist
1600 STATE ST
SALEM, OR 97301
Occupational Therapist
1600 STATE ST
SALEM, OR 97301
Orthopaedic Surgery (Hand Surgery)
1600 STATE ST
SALEM, OR 97301
Orthopaedic Surgery
1600 STATE ST
SALEM, OR 97301

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 Casey Shaw's NPI number?

The NPI number for Casey Shaw is 1184965253. It was assigned to this individual provider in the NPPES registry on March 13, 2013.

Where is Casey Shaw located?

Casey Shaw practices at 1600 State St, Salem, OR 97301. The listed phone number is (503) 540-6300.

What is Casey Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Casey Shaw enrolled in Medicare?

Yes. Casey Shaw 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 Casey Shaw accept?

Health plans from Kaiser Permanente list Casey Shaw 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.

When was this NPI record last updated?

The NPPES record for Casey Shaw was last updated on October 2, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.