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DR. BRIAN SPENCER SHUMWAY D.D.S.
NPI 1922299387
Dentist - Oral and Maxillofacial Pathology in Louisville, KY

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
SCHOOL OF DENTISTRY 501 SOUTH PRESTON STREET, FACULTY PRACTICE, SUITE 334, LOUISVILLE, KY 40292(502) 852-5401(502) 852-7602 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Spencer Shumway D.d.s. NPPES

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

DR. BRIAN SPENCER SHUMWAY D.D.S. (NPI 1922299387) is an individual oral and maxillofacial pathology provider in Louisville, Kentucky, licensed in Kentucky (8548) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1922299387
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. BRIAN SPENCER SHUMWAYCredential: D.D.S.
Location AddressSCHOOL OF DENTISTRY 501 SOUTH PRESTON STREET, FACULTY PRACTICE, SUITE 334Louisville, KY 40292-0001
Mailing AddressSchool Of Dentistry 501 Preston Street, Surgical And Hospital Dentistry Rm 337Louisville, KY 40292-0001 · (502) 852-5083 · Fax (502) 852-5988
Phone(502) 852-5401
Fax(502) 852-7602
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 9, 2007
✔ NPI 1922299387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in KY · 8548
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
SCHOOL OF DENTISTRY 501 SOUTH PRESTON STREET, Louisville, KY 40292
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Brian Spencer Shumway D.d.s. 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 ID8325120074
PECOS Enrollment IDI20080325000499
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 3

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 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.
31 services22 patients
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.
30 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40292 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Brian Shumway's NPI number?

The NPI number for Brian Shumway is 1922299387. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Brian Shumway located?

Brian Shumway practices at School Of Dentistry 501 South Preston Street Faculty Practice, Suite 334, Louisville, KY 40292. The listed phone number is (502) 852-5401.

What is Brian Shumway's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Brian Shumway enrolled in Medicare?

Yes. Brian Shumway 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 Brian Shumway accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 1 other insurer list Brian Shumway 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.

When was this NPI record last updated?

The NPPES record for Brian Shumway was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.