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SHANE JAY ALFORD PA
NPI 1396973855
Physician Assistant in Lawrence, KS

Active since June 23, 2009PECOS EnrolledAccepts Medicare Assignment
85.25/100
CMS Quality Rating
332 WOODLAWN CT, LAWRENCE, KS 66049(785) 856-7870(888) 778-9471 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Jay Alford Pa NPPES

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

SHANE JAY ALFORD PA (NPI 1396973855) is an individual physician assistant in Lawrence, Kansas and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396973855
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE JAY ALFORDCredential: PA
Location Address332 WOODLAWN CTLawrence, KS 66049-1855
Mailing Address332 Woodlawn CtLawrence, KS 66049-1855 · (785) 856-7870 · Fax (888) 778-9471
Phone(785) 856-7870
Fax(888) 778-9471
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2009
Last NPPES UpdateDecember 31, 2013
✔ NPI 1396973855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
332 WOODLAWN CT, Lawrence, KS 66049
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Other Identifiers 2

OtherKMAPKS · 200631010c
Medicare PINKA2497002KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Shane Jay Alford 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 ID5294874301
PECOS Enrollment IDI20091203000180
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 2

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
41 services18 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170014
Location1301 S Main StreetOttawa, KS 66067 · Franklin County
Birthing friendly

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170191
Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66049 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

85.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.9
Promoting Interoperability100
Improvement Activities40
Cost65.95

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 Alford's NPI number?

The NPI number for Shane Alford is 1396973855. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Shane Alford located?

Shane Alford practices at 332 Woodlawn Ct, Lawrence, KS 66049. The listed phone number is (785) 856-7870.

What is Shane Alford's specialty?

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

Is Shane Alford enrolled in Medicare?

Yes. Shane Alford 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 Shane Alford accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Shane Alford 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.

Is Shane Alford affiliated with any hospitals?

According to CMS data, Shane Alford is affiliated with Hays Medical Center, Adventhealth Ottawa and University Of Ks Hlth System Great Bend Campus.

When was this NPI record last updated?

The NPPES record for Shane Alford was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.