1. Home
  2. Directory
  3. New York
  4. Beaver Falls
  5. Family Medicine
  6. NPI Profile

DR. ROGER BRIAN SHAMBO MD
NPI 1649251489
Family Medicine in Beaver Falls, NY

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
9559 MAIN STREET, BEAVER FALLS, NY 13305(315) 346-6824(315) 346-6868 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roger Brian Shambo Md NPPES

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

DR. ROGER BRIAN SHAMBO MD (NPI 1649251489) is an individual family medicine provider in Beaver Falls, New York, licensed in New York (165521-1) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1649251489
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROGER BRIAN SHAMBOCredential: MD
Location Address9559 MAIN STREETBeaver Falls, NY 13305
Mailing Address9559 Main Street, Po Box 180Beaver Falls, NY 13305-0180 · (315) 346-6824 · Fax (315) 346-6868
Phone(315) 346-6824
Fax(315) 346-6868
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 9, 2005
Last NPPES UpdateJanuary 17, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1649251489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 165521-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9559 MAIN STREET, Beaver Falls, NY 13305
Open in Google Maps ↗

Other Identifiers 2

Other374498NY · Mvp
Medicaid01021076NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roger Brian Shambo Md 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 ID5991796542
PECOS Enrollment IDI20040521000419
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 Roger Shambo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lewis County General Hospital
0.1 mi
Family Medicine
9559 MAIN STREET
Beaver Falls, NY 13305
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Lewis County
  • Also billed through NPI 1033428958 (New York), NPI 1982954178 (New York)
  • 20 clinicians in this Medicare group
NPI 1790857308 (315) 346-6824

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 13305 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

GREGORY MICHAEL DOMBROSKI PA-C, MPAS
Physician Assistant (Medical)
9559 MAIN STREET
BEAVER FALLS, NY 13305
Lewis County (315) 346-6824
THOMAS PETER BIRK D.O.
Family Medicine
9559 MAIN STREET
BEAVER FALLS, NY 13305
Lewis County (315) 346-6824
LEWIS COUNTY GENERAL HOSPITAL
Clinic/Center (Rural Health)
9559 MAIN STREET
BEAVER FALLS, NY 13305
Lewis County (315) 346-6824
SHIRLEY TUTTLE-MALONE DO
Family Medicine
9559 MAIN STREET
BEAVER FALLS, NY 13305
Lewis County (315) 346-6824
LEWIS COUNTY GENERAL HOSPITAL
Family Medicine
9559 MAIN STREET
BEAVER FALLS, NY 13305
Lewis County (315) 346-6824

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 Roger Shambo's NPI number?

The NPI number for Roger Shambo is 1649251489. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Roger Shambo located?

Roger Shambo practices at 9559 Main Street, Beaver Falls, NY 13305. The listed phone number is (315) 346-6824.

What is Roger Shambo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roger Shambo enrolled in Medicare?

Yes. Roger Shambo 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.

Which organization bills Medicare for Roger Shambo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Shambo reassigns Medicare benefits to Lewis County General Hospital (Beaver Falls, NY). 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 Roger Shambo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Shambo was last updated on January 17, 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.