DR. SHANE CORBIN ANDERSON MD
NPI 1952863946
Orthopaedic Surgery - Sports Medicine in Lewiston, NY

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
5300 MILITARY RD, LEWISTON, NY 14092(530) 012-7015 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2024, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Shane Corbin Anderson Md NPPES

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

DR. SHANE CORBIN ANDERSON MD (NPI 1952863946) is an individual sports medicine provider in Lewiston, New York, licensed in New York (336964) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952863946
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. SHANE CORBIN ANDERSONCredential: MD
Location Address5300 MILITARY RDLewiston, NY 14092-1903
Mailing Address5300 Military RdLewiston, NY 14092-1903 · (314) 514-3500 · Fax (716) 297-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1952863946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in NY · 336964
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 336964 (NY)
5300 MILITARY RD, Lewiston, NY 14092

Other Identifiers 1

Medicaid200144492MO

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. Shane Corbin Anderson 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 ID1951638113
PECOS Enrollment IDI20250911003811
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.

Hospital Affiliations CMS Care Compare 3

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

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.

Radiology (Diagnostic Radiology)
5300 MILITARY RD, XRAY DEPT
LEWISTON, NY 14092
Internal Medicine
5300 MILITARY RD
LEWISTON, NY 14092
Radiology (Diagnostic Radiology)
5300 MILITARY RD
LEWISTON, NY 14092
Surgery
5300 MILITARY RD
LEWISTON, NY 14092
Anesthesiology
5300 MILITARY RD, MOUNT ST MARYS HOSPITAL
LEWISTON, NY 14092
Emergency Medicine (Emergency Medical Services)
5300 MILITARY RD
LEWISTON, NY 14092
Internal Medicine
5300 MILITARY RD, @MOUNT ST. MARY'S HOSPITAL RM 302
LEWISTON, NY 14092
Hospitalist
5300 MILITARY RD
LEWISTON, NY 14092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952863946, enumerated as an "individual" on April 01, 2019.

The provider is located at 5300 MILITARY RD LEWISTON, NY 14092 and the phone number is (530) 012-7015.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Shane Anderson is affiliated with: SISTERS OF CHARITY HOSPITAL, KENMORE MERCY HOSPITAL and MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER.