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DR. SAMUEL GARDNER SHILEY MD
NPI 1861429227
Otolaryngology in Portland, OR

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
2701 NW VAUGHN ST STE 150, PORTLAND, OR 97210(503) 229-8455(503) 229-7028 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Nov 11, 2024, Nov 21, 2023 and 4 more (7 updates tracked since 2016).

About Dr. Samuel Gardner Shiley Md NPPES

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

DR. SAMUEL GARDNER SHILEY MD (NPI 1861429227) is an individual otolaryngology provider in Portland, Oregon, licensed in Oregon (MD25260) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of California, Irvine, California College Of Medicine (1999).

NPPES Registry Identity

NPI1861429227
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SAMUEL GARDNER SHILEYCredential: MD
Location Address2701 NW VAUGHN ST STE 150Portland, OR 97210-5379
Mailing Address541 Ne 20th Ave Ste 225Portland, OR 97232-2895 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 229-8455
Fax(503) 229-7028
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1999
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 20, 20257 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1861429227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OR · MD25260
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2701 NW VAUGHN ST STE 150, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 2

Medicaid2059958WA
Medicaid269657OR

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Gardner Shiley 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 ID3678535762
PECOS Enrollment IDI20041101000650
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services68 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
66 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
24 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380007
Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County
Emergency services Birthing friendly

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

PACIFIC NORTHWEST RENAL SERVICES, L.L.C.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 205-0320
ANDREA LEIGH HUXTABLE PAC
Physician Assistant (Surgical)
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 229-8455
JUSTIN ALEXANDER HALL
Otolaryngology
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 229-8455
KAVITA BHATNAGAR
Otolaryngology
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 229-8455
ANNA-MARIE ELIZABETH WOOD AUD
Audiologist
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 229-8455
DR. R STERLING HODGSON MD
Otolaryngology (Otology & Neurotology)
2701 NW VAUGHN ST STE 150
PORTLAND, OR 97210
Multnomah County (503) 229-8455

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 Samuel Shiley's NPI number?

The NPI number for Samuel Shiley is 1861429227. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Samuel Shiley located?

Samuel Shiley practices at 2701 NW Vaughn St Ste 150, Portland, OR 97210. The listed phone number is (503) 229-8455.

What is Samuel Shiley's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Samuel Shiley enrolled in Medicare?

Yes. Samuel Shiley 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.

What insurance does Samuel Shiley accept?

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

Is Samuel Shiley affiliated with any hospitals?

According to CMS data, Samuel Shiley is affiliated with Providence St Vincent Medical Center, Legacy Emanuel Medical Center, Ohsu Hospital And Clinics, Legacy Good Samaritan Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Shiley was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.