DR. SHANE R FANCHER MD NPI 1427055433

NPI Information

  • NPI: 1427055433
  • Provider Name: DR. SHANE R FANCHER, MD
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1800 E LAKE SHORE DR
    DECATUR, IL
    ZIP 62521
  • Phone: (217) 464-2729

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NPI Details

DR. Shane R Fancher, MD is an interventional pain medicine pain medicine in Decatur, IL with 34 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DR. Shane R Fancher, MD NPI is 1427055433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521-810
Phone: (217) 464-2729
Fax: (217) 464-1693

The NPI 1427055433 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Anesthesia for lens surgery (HCPCS:00142)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician (HCPCS:62370)
  • Injection of anesthetic agent and/or steroid into thigh nerve (HCPCS:64447)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Anesthesia for procedure on small and large bowel using an endoscope (HCPCS:00813)
  • Anesthesia for other procedure on urinary system through urethra (HCPCS:00910)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 8/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain Medicine24559SOUTH CAROLINANo
2207LP2900XAnesthesiologyPain MedicineME93432FLORIDANo
3208600000XSurgery036-094339ILLINOISNo
4208600000XSurgery24559SOUTH CAROLINANo
5208VP0014XPain MedicineInterventional Pain Medicine036-094339ILLINOISYes
6207LP2900XAnesthesiologyPain Medicine036-094339ILLINOISNo
7208600000XSurgeryME93432FLORIDANo
8207L00000XAnesthesiology24559SOUTH CAROLINANo
9207L00000XAnesthesiology036-094339ILLINOISNo
10207L00000XAnesthesiologyME93432FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1336055454OTHERILLINOISBCBS
2036094339MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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