DR. SHAIN S WALLIS DO
NPI 1356653729
Radiology - Diagnostic Radiology in Liverpool, NY

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
98.36/100
CMS Quality Rating
5100 WEST TAFT RD, STE 2A, LIVERPOOL, NY 13088(315) 452-2666(315) 452-2669 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shain S Wallis Do NPPES

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

DR. SHAIN S WALLIS DO (NPI 1356653729) is an individual diagnostic radiology provider in Liverpool, New York, licensed in New York (264957) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1356653729
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SHAIN S WALLISCredential: DO
Location Address5100 WEST TAFT RD, STE 2ALiverpool, NY 13088
Mailing Address4567 Crossroads Park DrLiverpool, NY 13088-3589 · (315) 295-2100 · Fax (315) 295-2125
Fax(315) 452-2669
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 13, 2010
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1356653729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NY · 264957
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5100 WEST TAFT RD, Liverpool, NY 13088

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. Shain S Wallis Do 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 ID3870736275
PECOS Enrollment IDI20130904000749
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 55

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
9,340 services87 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
451 services451 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
450 services450 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
235 services231 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
165 services159 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
165 services165 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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.

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.

98.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.04
Improvement Activities40
Cost99.97

Other Providers at the Same Location NPPES 3

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

Surgery
5100 WEST TAFT RD, STE 2E
LIVERPOOL, NY 13088
Specialist
5100 WEST TAFT RD, STE 2E
LIVERPOOL, NY 13088
Physician Assistant (Surgical)
5100 WEST TAFT RD, STE 2E
LIVERPOOL, NY 13088

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 Shain Wallis's NPI number?

The NPI number for Shain Wallis is 1356653729. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Shain Wallis located?

Shain Wallis practices at 5100 West Taft Rd Ste 2A, Liverpool, NY 13088. The listed phone number is (315) 452-2666.

What is Shain Wallis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shain Wallis enrolled in Medicare?

Yes. Shain Wallis 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 Shain Wallis affiliated with any hospitals?

According to CMS data, Shain Wallis is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Shain Wallis was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.