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GARY Y. SHAW M.D.
NPI 1912940958
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Canton, IL

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gary Y. Shaw M.d. NPPES

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

GARY Y. SHAW M.D. (NPI 1912940958) is an individual otolaryngology/facial plastic surgery provider in Canton, Illinois, licensed in Missouri (109774) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1912940958
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameGARY Y. SHAWCredential: M.D.
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5101
Phone(309) 647-0201
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 13, 2021
NPPES CertifiedApril 13, 2021
✔ NPI 1912940958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MO · 109774
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
180 S MAIN ST, Canton, IL 61520
Open in Google Maps ↗

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

Gary Y. Shaw M.d. 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 ID8224005590
PECOS Enrollment IDI20061101000540, I20160307000337
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 Reassignments

2

Medicare enrollment records show Gary Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Graham Hospital Association
Same address
Rural Health
180 S MAIN ST
Canton, IL 61520
  • Reassigned Medicare billing, Illinois enrollment
  • 134 clinicians in this Medicare group
NPI 1205072626 (309) 647-0201
Mason Hospital District
10 mi
Family Medicine
1301 S EAST AVE
Manito, IL 61546
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
NPI 1902340748 (309) 968-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
30 services26 patients
Evaluation and recording of swallowing using an endoscope 92612
This procedure, known as endoscopic evaluation of swallowing, involves using a thin, flexible tube with a camera (endoscope) to view your throat and evaluate your swallowing. It helps identify any issues that may be causing difficulty in swallowing.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

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.

SPOON RIVER HEARING SERVICES INC
Audiologist
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
A KURT SAVEGNAGO MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JOHN M MCCARTHY MD
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MS. DARA MARIE WAGNER APN-C
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
JESSICA LYNN BUGOS APRN
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
STEPHEN WESTHAFER
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
MR. JARED MATTHEW GRZANICH P.A.-C
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201
SUZANNE E HOLTHAUS MD
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Fulton County (309) 647-0201

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 Gary Shaw's NPI number?

The NPI number for Gary Shaw is 1912940958. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Gary Shaw located?

Gary Shaw practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Gary Shaw's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Gary Shaw enrolled in Medicare?

Yes. Gary Shaw 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 organizations bill Medicare for Gary Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Shaw reassigns Medicare benefits to 2 organizations: Graham Hospital Association (Canton, IL) and Mason Hospital District (Manito, IL). Each 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 Gary Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gary Shaw affiliated with any hospitals?

According to CMS data, Gary Shaw is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Gary Shaw was last updated on April 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.