SHANE J MILLS (MD) – Gastroenterology Physician, NPI 1699747055

SHANE J MILLS (MD) is a healthcare provider. based in Springfield, Oregon. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 11916 (HI). The NPI Number for SHANE J MILLS (MD) is 1699747055

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SHANE J MILLS (MD)
NPI
1699747055
Phone
(541) 868-9500
Address
3355 RIVERBEND DR STE 500
Enumeration Date
1 February 2006
Last Update Date
28 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
5418689500
Graduation Year
2000 (26 years ago)
PAC ID
5597908327
Group Practice PAC ID
9830185875
Professional Enrollment ID
I20130827000450
Address ID
OR974778800SP3355XDRXX321
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

252 GASTROENTEROLOGY in OR

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Provider Addresses for SHANE J MILLS (MD)

  • Riverbend Drive, Springfield, Lane County, Oregon, 97475, United States

    SPRINGFIELD, OR 974778800

    Phone: (541) 868-9500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($63).

Total Amount

$142

General + Research + Ownership

Payments

6

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130827000450IGastroenterologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity273114$0
45380Biopsy of large bowel using a flexible endoscope7575$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5857$0
99205New patient office or other outpatient visit, 60-74 minutes3636$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2727$0
View full utilization report →

Insurance plans in this area (ZIP 97477)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830185875View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOR
G A S T R O E N T E R O L O G YOR
G A S T R O E N T E R O L O G YOR
Physician AssistantMO
Physician AssistantOH
G A S T R O E N T E R O L O G YOR
Gastroenterology, Internal MedicineVA
G A S T R O E N T E R O L O G YSC
-OR
G A S T R O E N T E R O L O G YIL

Reviews

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Frequently asked questions

What number should I use to identify SHANE J MILLS (MD) for billing?
Administrative and clinical systems typically use NPI 1699747055 for SHANE J MILLS (MD).
Should I treat SHANE J MILLS (MD) as an active provider?
Patients and plans typically see SHANE J MILLS (MD) as active in the national extract.
How should patients interpret SHANE J MILLS (MD)'s specialty?
The extract shows Gastroenterology Physician for SHANE J MILLS (MD). Clinical services aligned with this taxonomy classification.
Is SHANE J MILLS (MD) tied to Springfield, Oregon?
If you are local to Springfield, Oregon, SHANE J MILLS (MD) may be relevant to your search.
Why is information missing for SHANE J MILLS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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