DR. SHANE ANTHONY WILLIAMS D.M.D.
NPI 1437315272
Dentist - Oral and Maxillofacial Surgery in Bowling Green, KY

Q: What is Shane Williams's NPI number?

The NPI number for Shane Williams is 1437315272. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Q: What is Shane Williams's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Shane Williams enrolled in Medicare?

No. Shane Williams has opted out of Medicare through May 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shane Williams was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 31, 2008Opted out of Medicare · through May 2, 2028

1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104(270) 783-0064(270) 901-1997 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 21, 2021, Aug 17, 2020 and 3 more (6 updates tracked since 2017).

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About Dr. Shane Anthony Williams D.m.d. NPPES

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

DR. SHANE ANTHONY WILLIAMS D.M.D. (NPI 1437315272) is an individual oral and maxillofacial surgery provider in Bowling Green, Kentucky, licensed in Kentucky (9943) and active in the NPI registry since July 2008. He has opted out of Medicare through May 2, 2028.

NPPES Registry Identity

NPI1437315272

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. SHANE ANTHONY WILLIAMSCredential: D.M.D.

Location Address1802 ROCKINGHAM AVEBowling Green, KY 42104-3348

Mailing Address1938 Lyda AvenueBowling Green, KY 42104 · (270) 783-0064 · Fax (270) 901-1997

Phone(270) 783-0064

Fax(270) 901-1997

Sole ProprietorYes

Enumeration DateJuly 31, 2008

Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1437315272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in KY · 9943✔ Licensed in OK · 332✔ Licensed in TN · 9422

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License 9943 (KY)

1802 ROCKINGHAM AVE, Bowling Green, KY 42104

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Other Identifiers 1

Medicaid1528342TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

ⓘ

Opted out of Medicare

Dr. Shane Anthony Williams D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 2, 2024 through May 2, 2028.

Opt-Out Effective DateMay 2, 2024

Opt-Out In Effect ThroughMay 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42104 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 6

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

SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC

Dentist (Oral and Maxillofacial Surgery)