SHANE SCAVELLO PA
NPI 1205437498
Physician Assistant - Surgical in Concord, MA
About Shane Scavello Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE SCAVELLO PA (NPI 1205437498) is an individual surgical provider in Concord, Massachusetts, licensed in Rhode Island (PA01516) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and maintains a secondary practice location in Warwick.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shane Scavello 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tristar Centennial Medical Center
Acute Care Hospitals · Nashville, TNSaint Thomas Hospital For Spinal Surgery
Acute Care Hospitals · Nashville, TNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONCORD, MA 01742
CONCORD, MA 01742
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 Scavello's NPI number?
The NPI number for Shane Scavello is 1205437498. It was assigned to this individual provider in the NPPES registry on November 4, 2020.
Where is Shane Scavello located?
Shane Scavello practices at 133 Old Road To 9 Acre Cor, Concord, MA 01742. The listed phone number is (978) 369-1400.
What is Shane Scavello's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Shane Scavello enrolled in Medicare?
Yes. Shane Scavello 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 Shane Scavello affiliated with any hospitals?
According to CMS data, Shane Scavello is affiliated with Tristar Centennial Medical Center and Saint Thomas Hospital For Spinal Surgery.
When was this NPI record last updated?
The NPPES record for Shane Scavello was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shane Scavello, PA · NPI 1205437498
Surgical physician in Concord, Massachusetts. Individual provider, active in the CMS NPPES registry since November 4, 2020.
## Identity
- **NPI:** 1205437498 (Entity type: Individual)
- **Enumerated:** November 4, 2020
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 133 OLD ROAD TO 9 ACRE COR, Concord, MA 01742-4159
- **Phone:** (978) 369-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205437498) · Data from the CMS NPPES public registry.