National Provider Identifier
Shain S Wallis, DO
Shain S Wallis, DO is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Liverpool, NY and a listed phone number of (315) 452-2666.
Profile Overview
- NPI
- 1356653729
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- July 13, 2010
- Last Updated
- January 29, 2024
Practice Location
- 5100 West Taft RD
- Ste 2A
- Liverpool, NY 13088
Phone: (315) 452-2666
Mailing Address
- 4567 Crossroads Park Dr
- Liverpool, NY 13088-3589
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Browse Similar Providers
See more Diagnostic Radiology providers in Liverpool, NY.
Medicare Part B Activity
Reported 12,674 Medicare fee-for-service service lines in 2023.
Peer comparison
Compared to Radiology providers in the Syracuse, NY metro area.
This provider is in the 88th percentile for Medicare service volume.
Higher volume than most peers.
Performs 617% more Medicare services than the peer median.
Higher than 76 of 86 peers.
- Activity Percentile
- 88.4%
- Rank by Services
- 10 of 86
- Total Services
- 12,674
- Est. Allowed Value
- $203,089.05
- Dataset Year
- 2023
- Drug Code Share
- 82.6%
Estimated allowed value reflects Medicare fee-for-service allowed amounts only. It does not include Medicare Advantage, commercial insurance, cash-pay services, or employment compensation.
Peers are grouped by the broader Radiology classification rather than the exact subspecialty label shown elsewhere on the page.
Drug-related HCPCS codes make up 82.6% of reported Medicare services, so the claim mix is dominated by administered-drug billing lines.
Percentile distribution
Each bar represents a 10-point percentile band of peers by total Medicare services for Radiology across the Syracuse, NY metro area. Taller bars indicate higher service-volume bands. Highlighted bar marks this provider's percentile band.
Observed service range: 15 to 39,963 total Medicare services.
Top Clinical Services
- 77067: Screening mammography
246 services | $30,441.25
- 77063: Screening 3d breast mammography
245 services | $12,522.08
- 71250: Ct scan of chest without contrast
181 services | $22,566.85
- 71045: X-ray of chest, 1 view
178 services | $1,529.16
- 71046: X-ray of chest, 2 views
167 services | $4,089.15
Common Drug-Related Codes
- Q9967: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
10,475 services | $1,030.79
Full Record
- NPI
- 1356653729
- Entity Type
- Individual
- Last Name
- Wallis
- First Name
- Shain
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 4567 Crossroads Park Dr
- Mailing City
- Liverpool
- Mailing State
- NY
- Mailing ZIP Code
- 13088-3589
- Mailing Country
- US
- Mailing Phone
- (315) 295-2100
- Mailing Fax
- (315) 295-2125
- Practice Street Address
- 5100 West Taft RD
- Practice Address Line 2
- Ste 2A
- Practice City
- Liverpool
- Practice State
- NY
- Practice ZIP Code
- 13088
- Practice Country
- US
- Practice Phone
- (315) 452-2666
- Practice Fax
- (315) 452-2669
- Enumeration Date
- July 13, 2010
- Last Updated
- January 29, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 29, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)