Shane Scavello, PA
NPI 1205437498 · Surgical Physician Assistant · Concord, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane Scavello, PA is a Surgical Physician Assistant provider in Concord, MA (NPI 1205437498).
Provider details
- NPI number
- 1205437498
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 455 Toll Gate RdWarwick, RI 02886-2759Phone: (401) 738-6611Fax: (401) 921-6952
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Frequently asked questions
- What is Shane Scavello's NPI number?
- Shane Scavello's National Provider Identifier (NPI) is 1205437498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Scavello's specialty?
- Shane Scavello is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shane Scavello located?
- Shane Scavello's practice location on file with NPPES is 133 Old Road to 9 Acre Cor, Concord, MA 01742-4159.
- What is Shane Scavello's phone number?
- The practice phone number listed in the NPPES registry for Shane Scavello is (978) 369-1400.
- Does Shane Scavello accept Medicare?
- Shane Scavello is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shane Scavello's NPI active?
- Yes — Shane Scavello's NPI (1205437498) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.