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SHANE MUSGROVE PA
NPI 1427408251
Physician Assistant in Winchester, VA

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1870 AMHERST ST STE C, WINCHESTER, VA 22601(540) 536-6721(540) 536-6724 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Sep 8, 2023, Jul 30, 2019 and 3 more (6 updates tracked since 2016).

About Shane Musgrove Pa NPPES

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

SHANE MUSGROVE PA (NPI 1427408251) is an individual physician assistant in Winchester, Virginia, licensed in Virginia (0110010591) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427408251
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE MUSGROVECredential: PA
Location Address1870 AMHERST ST STE CWinchester, VA 22601-2841
Mailing Address220 Campus Blvd Ste 320Winchester, VA 22601-2889 · (540) 536-5100 · Fax (540) 536-0235
Phone(540) 536-6721
Fax(540) 536-6724
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateMarch 31, 20256 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1427408251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in VA · 0110010591✔ Licensed in ID · PA-1610✔ Licensed in CO · 4759
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.
1870 AMHERST ST STE C, Winchester, VA 22601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Musgrove 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 ID9133407463
PECOS Enrollment IDI20250327001564
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.

Hospital Affiliations CMS Care Compare 4

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 5

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

DR. TARIQ ALI NAYFEH MD
Orthopaedic Surgery
1870 AMHERST ST STE C
WINCHESTER, VA 22601
Winchester City (540) 536-0153
BAILEY O'BANNON
Physician Assistant (Medical)
1870 AMHERST ST STE C
WINCHESTER, VA 22601
Winchester City (540) 536-0153
RICHARD WILLIAM GILBERT JR. PA C
Physician Assistant (Medical)
1870 AMHERST ST STE C
WINCHESTER, VA 22601
Winchester City (540) 536-0153
WINCHESTER MEDICAL CENTER
Orthopaedic Surgery
1870 AMHERST ST STE C
WINCHESTER, VA 22601
Winchester City (540) 536-0153
MR. JOHN JAMES WALKER MPAS, DSC, APA-C
Physician Assistant
1870 AMHERST ST STE C
WINCHESTER, VA 22601
Winchester City (540) 536-0153

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 Musgrove's NPI number?

The NPI number for Shane Musgrove is 1427408251. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Shane Musgrove located?

Shane Musgrove practices at 1870 Amherst St Ste C, Winchester, VA 22601. The listed phone number is (540) 536-6721.

What is Shane Musgrove's specialty?

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

Is Shane Musgrove enrolled in Medicare?

Yes. Shane Musgrove 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 Musgrove accept?

Health plans from CareSource list Shane Musgrove 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 Musgrove affiliated with any hospitals?

According to CMS data, Shane Musgrove is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital and Page Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shane Musgrove was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.