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Active NPI 1215932504 Individual Practitioner Male Practitioner

Dr. Stephen Mark Shall , DDS

Oral & Maxillofacial Surgery • Sylvania, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Shall, DDS is a certified Oral & Maxillofacial Surgery practicing in Sylvania, OH. With approximately 48 years of clinical experience since graduating from Ohio State University College Of Dentistry in 1978, Dr. Shall delivers high-quality medical care to the local community at 5690 MONROE ST.

Dr. Shall is affiliated with Western Lake Erie Oms Ltd. and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, biopsy of mouth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5690 Monroe St

Sylvania, OH 435602736

Telephone 4194793939
Fax 4194793933
Associated Practice Facility / Clinic
🏢 Western Lake Erie Oms Ltd. Facility NPI 1538380662

Medicare Profile & Education

Medical School

Ohio State University College Of Dentistry

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Sylvania, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
48 Yrs +25.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Sylvania, OH (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
13.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shall (48 Years) 48 Yrs
Sylvania Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $120.00 $103.80

Medical Specialties & State Licenses

Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License OH 30.016634

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License OH 16634

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0515599 (OH)

Hospital & Practice Group Affiliations

Western Lake Erie Oms Ltd.

5690 Monroe St, Sylvania, OH 435602736

Phone: 4194793939

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. David Shall , DDS, MD

Oral & Maxillofacial Surgery

NPI 1194968347

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Lauren Bourell , DDS, MD

Oral & Maxillofacial Surgery

NPI 1295908028

Doctor of Dental Surgery, Doctor of Medicine (M.D.)

Dr. Richard Ziegler , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1578568861

Doctor of Dental Surgery

Aaron Brinster , DDSMD

Oral & Maxillofacial Surgery

NPI 1629393707
Dr. James Mayer , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1891795233

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 5690 MONROE ST, SYLVANIA, OH 435602736 (Tel: 4194793939)

📍
Updated Business Mailing Address September 13, 2016

Registered at 5690 MONROE ST, STE A, SYLVANIA, OH 435602736 (Tel: 4194793939)

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as STEPHEN SHALL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Dentist (License #16634 in OH)

🟢
Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215932504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: August 01, 2019
Sole Proprietor: No

Mailing Address

5690 Monroe St, Ste A

Sylvania, OH 435602736

Phone: 4194793939

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.