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DR. SHAWN R. HATHAWAY M.D.
NPI 1609818202
Pediatrics in Corvallis, OR

Active since June 11, 2006PECOS Enrolled
3680 NW SAMARITAN DR, CORVALLIS, OR 97330(541) 754-1278(541) 754-1512 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 12, 2026, Nov 5, 2020 (2 updates tracked since 2020).

About Dr. Shawn R. Hathaway M.d. NPPES

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

DR. SHAWN R. HATHAWAY M.D. (NPI 1609818202) is an individual pediatrics provider in Corvallis, Oregon, licensed in Oregon (MD23849) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609818202
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAWN R. HATHAWAYCredential: M.D.
Location Address3680 NW SAMARITAN DRCorvallis, OR 97330-3737
Mailing Address444 Nw Elks DrCorvallis, OR 97330-3758 · (541) 754-1150
Phone(541) 754-1278
Fax(541) 754-1512
Sole ProprietorNo
Enumeration DateJune 11, 2006
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1609818202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD23849
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3680 NW SAMARITAN DR, Corvallis, OR 97330
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawn R. Hathaway M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shawn Hathaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Corvallis Clinic P C
Same address
Urgent Care
3680 NW SAMARITAN DR STE 100
Corvallis, OR 97330
  • Reassigned Medicare billing, Oregon enrollment
  • 162 clinicians in this Medicare group
NPI 1679362198 (541) 754-1282

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
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 20

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

MS. LAURA LUCZKIW
Dietitian, Registered
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
DR. KEVIN CUCCARO DO
Anesthesiology (Pain Medicine)
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
KOURTNEY L HANKS CNM/FNP
Nurse Practitioner
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
JOHN NARCISO NAVARRO PA-C
Physician Assistant
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
ROLAND SOLENSKY M.D.
Internal Medicine (Allergy & Immunology)
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
LINDA D KNOX CST
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
RUTH S PALMA NP
Nurse Practitioner (Family)
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150
MS. ANNEMARIE BOYD PA-C
Physician Assistant
3680 NW SAMARITAN DR
CORVALLIS, OR 97330
Benton County (541) 754-1150

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 Shawn Hathaway's NPI number?

The NPI number for Shawn Hathaway is 1609818202. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Shawn Hathaway located?

Shawn Hathaway practices at 3680 NW Samaritan Dr, Corvallis, OR 97330. The listed phone number is (541) 754-1278.

What is Shawn Hathaway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shawn Hathaway enrolled in Medicare?

Yes. Shawn Hathaway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shawn Hathaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Hathaway reassigns Medicare benefits to The Corvallis Clinic P C (Corvallis, OR). The 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 Shawn Hathaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Hathaway accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shawn Hathaway 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.

When was this NPI record last updated?

The NPPES record for Shawn Hathaway was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.