SHAUNA MCELRATH DO
NPI 1902989015
Family Medicine in Lewiston, ME

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
300 MAIN ST, LEWISTON, ME 04240(207) 795-0111 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shauna Mcelrath Do NPPES

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

SHAUNA MCELRATH DO (NPI 1902989015) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (2134) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Rutgers School Of Dental Medicine (2006).

NPPES Registry Identity

NPI1902989015
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHAUNA MCELRATHCredential: DO
Location Address300 MAIN STLewiston, ME 04240-7027
Mailing Address300 Main StLewiston, ME 04240-7027 · (207) 795-0111
Sole ProprietorNo
Medical School CMSRutgers School Of Dental MedicineGraduated 2006
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 4, 2009
NPI 1902989015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ME · 2134 Licensed in ME · T0644
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.
300 MAIN ST, Lewiston, ME 04240

Accepted 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

Shauna Mcelrath Do 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 ID4981743465
PECOS Enrollment IDI20091121000032
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 6

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
38 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services20 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services12 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
17 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

Nurse Anesthetist, Certified Registered
300 MAIN ST, CENTRAL MAINE MEDICAL CENTER
LEWISTON, ME 04240
Physical Therapist
300 MAIN ST
LEWISTON, ME 04240
Speech-Language Pathologist
300 MAIN ST
LEWISTON, ME 04240
Internal Medicine
300 MAIN ST
LEWISTON, ME 04240
Radiology (Diagnostic Radiology)
300 MAIN ST
LEWISTON, ME 04240
Nurse Anesthetist, Certified Registered
300 MAIN ST
LEWISTON, ME 04240
Obstetrics & Gynecology
300 MAIN ST
LEWISTON, ME 04240
Emergency Medicine
300 MAIN ST
LEWISTON, ME 04240

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 Shauna Mcelrath's NPI number?

The NPI number for Shauna Mcelrath is 1902989015. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Shauna Mcelrath located?

Shauna Mcelrath practices at 300 Main St, Lewiston, ME 04240. The listed phone number is (207) 795-0111.

What is Shauna Mcelrath's specialty?

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

Is Shauna Mcelrath enrolled in Medicare?

Yes. Shauna Mcelrath 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 Shauna Mcelrath accept?

Health plans from Anthem Blue Cross and Blue Shield list Shauna Mcelrath 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 Shauna Mcelrath affiliated with any hospitals?

According to CMS data, Shauna Mcelrath is affiliated with Central Maine Medical Center and St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shauna Mcelrath was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.