DR. SHANE MATTHEW GJESDAL (MD) – Obstetrics & Gynecology Physician, NPI 1164424586
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
632 OBSTETRICS/GYNECOLOGY in OR
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Provider Addresses for DR. SHANE MATTHEW GJESDAL (MD)
PO BOX 1188
CORVALLIS, OR 973391188
Phone: (541) 812-4850
Type: Mailing
705, Elm Street Southwest, Albany historic districts, Albany, Linn County, Oregon, 97321, United States
SUITE 200
ALBANY, OR 973211956
Phone: (541) 812-4850
Fax: (541) 812-4889
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $976.
Total Amount is formed as General ($976) + Research ($0) + Ownership ($0) = $976.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($304).
Total Amount
$976
General + Research + Ownership
Payments
41
Total payment records
General Amount
$976
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $304 |
| Daiichi Sankyo Inc. | $172 |
| Organon LLC | $75 |
| Davol Inc. | $72 |
| ABBVIE INC. | $63 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090811000042 | I | Obstetrics/Gynecology | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 16 | $0 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 13 | 13 | $0 |
Insurance plans in this area (ZIP 97339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Clinical Psychologist | OR | |
| Internal Medicine, Pediatric Medicine | OR | |
| Family Practice | OR | |
| - | OR | |
| Hospitalist, Family Practice | OR | |
| - | OR |
Reviews
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