SHANE SCAVELLO (PA) – Surgical Physician Assistant, NPI 1205437498
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,093 PHYSICIAN ASSISTANT in MA
Provider Addresses for SHANE SCAVELLO (PA)
5 SESAME ST
WESTERLY, RI 028911304
Phone: (401) 378-3521
Type: Mailing
133 OLD ROAD TO 9 ACRE COR
CONCORD, MA 017424159
Phone: (978) 369-1400
Type: Location
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 738-6611
Fax: (401) 921-6952
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-12-11
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 |
|---|---|---|---|---|
| I20251211000068 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02891)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| - | KY | |
| Physician Assistant | AZ | |
| Physician Assistant | PA | |
| Physician Assistant | TN | |
| Physician Assistant | GA | |
| Physician Assistant | TN | |
| Physician Assistant | PA | |
| Physician Assistant | TN | |
| Physician Assistant | OK |
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