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BENJAMIN D SHADLE M.D.
NPI 1316928070
Surgery in Roseville, CA

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
3 MEDICAL PLAZA, SUITE 200, ROSEVILLE, CA 95661(916) 773-8750(916) 773-7963 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin D Shadle M.d. NPPES

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

BENJAMIN D SHADLE M.D. (NPI 1316928070) is an individual surgery provider in Roseville, California, licensed in California (A99595) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2005).

NPPES Registry Identity

NPI1316928070
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN D SHADLECredential: M.D.
Location Address3 MEDICAL PLAZA, SUITE 200Roseville, CA 95661
Mailing Address10470 Old Placerville Road, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 773-8750
Fax(916) 773-7963
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2005
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 19, 2016
✔ NPI 1316928070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A99595
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3 MEDICAL PLAZA, Roseville, CA 95661
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Other Identifiers 1

Medicare UPINRES000CA

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

Benjamin D Shadle M.d. 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 ID7517138142
PECOS Enrollment IDI20110922000134
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 Benjamin Shadle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Medical Foundation
13 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • Also billed through NPI 1972877264 (California), NPI 1457593980 (California), NPI 1467825844 (California), NPI 1346615150 (California)
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857
Acute Care Surgery Medical Group, Inc.
18 mi
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1700069549 (916) 441-0400
Surgical Affiliates Of California
119 mi
Surgery
807 ILLINOIS AVE
Los Banos, CA 93635
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group
NPI 1932440781 (209) 710-8695

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services29 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.
83 services63 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
35 services35 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.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services24 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

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.

NANCY L KEMP OT
Occupational Therapist
3 MEDICAL PLAZA, #100
ROSEVILLE, CA 95661
Placer County (916) 781-5188
DR. GENEVIEVE HELENA SWEET M.D.
Urology
3 MEDICAL PLAZA, SUITE 250
ROSEVILLE, CA 95661
Placer County (916) 797-4720

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 Benjamin Shadle's NPI number?

The NPI number for Benjamin Shadle is 1316928070. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Benjamin Shadle located?

Benjamin Shadle practices at 3 Medical Plaza Suite 200, Roseville, CA 95661. The listed phone number is (916) 773-8750.

What is Benjamin Shadle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Benjamin Shadle enrolled in Medicare?

Yes. Benjamin Shadle 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 Benjamin Shadle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Shadle reassigns Medicare benefits to 3 organizations: Sutter Medical Foundation (Sacramento, CA), Acute Care Surgery Medical Group, Inc. (Sacramento, CA) and Surgical Affiliates Of California (Los Banos, CA). 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 Benjamin Shadle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Benjamin Shadle was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.