SHANE GRAYSON PA-C
NPI 1629760855
Physician Assistant in Buffalo, NY

Q: What is Shane Grayson's NPI number?

The NPI number for Shane Grayson is 1629760855. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Q: What is Shane Grayson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Grayson was last updated on August 16, 2023. 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.

Active since May 25, 2023PECOS EnrolledAccepts Medicare Assignment

34 BENWOOD AVE, BUFFALO, NY 14214(716) 986-9199 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, May 25, 2023 (2 updates tracked since 2023).

On this page

About Shane Grayson Pa-c NPPES

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

SHANE GRAYSON PA-C (NPI 1629760855) is an individual physician assistant in Buffalo, New York, licensed in New York (030442) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Mount St. Mary's Hospital & Health Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629760855

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHANE GRAYSONCredential: PA-C

Location Address34 BENWOOD AVEBuffalo, NY 14214-1761

Mailing Address1519 Summit StWhite Oak, PA 15131-1705

Phone(716) 986-9199

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 25, 2023

Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration

NPPES CertifiedAugust 16, 2023

✔ NPI 1629760855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 030442

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.

34 BENWOOD AVE, Buffalo, NY 14214

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Grayson Pa-c 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 ID8022467547

PECOS Enrollment IDI20251208001069

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 2

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

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330188

Location5300 Military RoadLewiston, NY 14092 · Niagara County

Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14214 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.

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.

AHMAD MAFI DO

Internal Medicine