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

Q: 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.

Q: What is Roger Shambo's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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Other Identifiers 2

Other374498NY · Mvp

Medicaid01021076NY

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

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.

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)