DR. SHANE CORBIN ANDERSON MD
NPI 1952863946
Orthopaedic Surgery - Sports Medicine in Lewiston, NY
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
Specialties & Licenses 2
Other Identifiers 1
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.
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, NYKenmore Mercy Hospital
Acute Care Hospitals · Kenmore, NYMount St. Mary's Hospital & Health Center
Acute Care Hospitals · Lewiston, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWISTON, NY 14092
LEWISTON, NY 14092
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 Shane Anderson's NPI number?
The NPI number for Shane Anderson is 1952863946. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Shane Anderson located?
Shane Anderson practices at 5300 Military Rd, Lewiston, NY 14092. The listed phone number is (530) 012-7015.
What is Shane Anderson's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Shane Anderson enrolled in Medicare?
Yes. Shane Anderson 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.
Is Shane Anderson affiliated with any hospitals?
According to CMS data, Shane Anderson is affiliated with Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.
When was this NPI record last updated?
The NPPES record for Shane Anderson was last updated on July 17, 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.
# Dr. Shane Corbin Anderson, MD · NPI 1952863946
Sports Medicine physician in Lewiston, New York. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1952863946 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **State license:** 336964 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5300 MILITARY RD, Lewiston, NY 14092-1903
- **Phone:** (530) 012-7015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 17, 2025
- **Other identifiers:** Medicaid 200144492 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1952863946) · Data from the CMS NPPES public registry.