NPI Details
Stephan W Shane, D.O. is an internal medicine in Brighton, CO with 29 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Stephan W Shane, D.O. NPI is 1447332424. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduation Year:1996
The provider's business location address is:
859 S 4TH AVE
BRIGHTON, CO
ZIP 80601-543
Phone: (303) 338-4545
The NPI 1447332424 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, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Anticoagulant management of patient taking warfarin (HCPCS:93793)
- Blood test, clotting time (HCPCS:85610)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
- Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
The enumeration date for this NPI number is 10/19/2006 and was last updated on 9/9/2011.
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 |
| 1 | 207R00000X | Internal Medicine | | 036-098583 | ILLINOIS | No |
| 2 | 207R00000X | Internal Medicine | | 47019 | COLORADO | Yes |
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 |
| 1 | H02377 | MEDICARE UPIN | | |
| 2 | 110195438 - CA4079 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | RR |
| 3 | L72583 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | INDIVIDUAL # |
| 4 | 815990 | MEDICARE ID-TYPE UNSPECIFIED | ILLINOIS | GROUP # |
| 5 | 019392 | OTHER | COLORADO | KAISER COMMERCIAL NUMBER |
| 6 | 036009853 | MEDICAID | ILLINOIS | |
| 7 | 26588021 | MEDICAID | COLORADO | |
| 8 | CO302024 | MEDICARE PIN | COLORADO | |
