Doctor profile · Federal record
Dr. Shain Wallis, DO
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Student in an Organized Health Care Education/Training Program · Liverpool, NY
- NPI 1356653729
- Accepts Medicare
- MIPS 88.5 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5100 West Taft RD, Ste 2A
Liverpool, NY 13088
(315) 452-2666
fax (315) 452-2669 - Mailing address
-
4567 Crossroads Park Dr
Liverpool, NY 130883589
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- January 29, 2024
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- New York #264957
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356653729. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12,674
Distinct HCPCS
10
Medicare allowed
$203,089
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 10,475 | 111 | $0 | |
77067 |
Screening mammography | 246 | 246 | $124 | |
77063 |
Screening 3d breast mammography | 245 | 245 | $51 | |
71045 |
X-ray of chest, 1 view | 178 | 143 | $9 | |
71250 |
Ct scan of chest without contrast | 167 | 161 | $131 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 114 | 114 | $37 | |
71046 |
X-ray of chest, 2 views | 107 | 104 | $33 | |
77065 |
Diagnostic mammography of 1 breast | 63 | 62 | $120 | |
71046 |
X-ray of chest, 2 views | 60 | 60 | $10 | |
71271 |
Low dose ct scan of chest for lung cancer screening | 55 | 55 | $137 |
In context: peer comparison
Among 3 peers in Liverpool Diagnostic Radiology Physician, average services per provider: 231. This provider delivers 55× the peer median.Frequently asked questions
What is Dr. Shain Wallis's medical specialty?
Dr. Shain Wallis practices Diagnostic Radiology Physician in Liverpool, NY.
Where does Dr. Shain Wallis practice?
Dr. Shain Wallis practices at 5100 West Taft RD, Liverpool, NY 13088. Office phone: 3154522666.
What is Dr. Shain Wallis's NPI?
Dr. Shain Wallis's National Provider Identifier (NPI) is 1356653729, issued by NPPES.
Does Dr. Shain Wallis accept Medicare assignment?
Yes. Dr. Shain Wallis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shain Wallis commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063). Source: CMS Medicare Physician & Other Practitioners file.