STEPHAN W SHANE (D.O.) – Internal Medicine Physician, NPI 1447332424

STEPHAN W SHANE (D.O.) is a healthcare provider. based in Brighton, Colorado. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 036-098583 (IL). The NPI Number for STEPHAN W SHANE (D.O.) is 1447332424

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN W SHANE (D.O.)
NPI
1447332424
Phone
(303) 338-4545
Address
859 S 4TH AVE
Enumeration Date
19 October 2006
Last Update Date
9 September 2011

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
4183787336
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20140131001139
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,996 INTERNAL MEDICINE in CO

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Provider Addresses for STEPHAN W SHANE (D.O.)

  • Kaiser Permanente Brighton Medical Offices, 859, South 4th Avenue, Brighton, Adams County, Colorado, 80601, United States

    BRIGHTON, CO 806013543

    Phone: (303) 338-4545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140131001139IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes695471$0
36415Insertion of needle into vein for collection of blood sample685452$0
93793Anticoagulant management of patient taking warfarin575139$0
85610Blood test, clotting time28773$0
99213Established patient office or other outpatient visit, 20-29 minutes195148$0
View full utilization report →

Insurance plans in this area (ZIP 80601)

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Provider's Procedures

STEPHAN W SHANE (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECO90670Pneumococcal vaccine for injection into muscle3333

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032020490View full group profile
NameSpecialtyState
Internal MedicineVA
Family PracticeGA
Orthopedic SurgeryIL
-NC
-TX
Family PracticeOR
Occupational Therapist In Private PracticeNC
Nurse PractitionerWA
Nurse PractitionerWA
Family PracticeWA

Reviews

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Frequently asked questions

How do I look up STEPHAN W SHANE (D.O.) by NPI?
Use NPI 1447332424 when you need to reference STEPHAN W SHANE (D.O.) in forms, claims, or directories.
Is STEPHAN W SHANE (D.O.) active in the national directory?
STEPHAN W SHANE (D.O.)'s public NPI profile is in an active state.
What kind of provider is STEPHAN W SHANE (D.O.)?
The page reflects Internal Medicine Physician for STEPHAN W SHANE (D.O.). Clinical services aligned with this taxonomy classification.
Where is STEPHAN W SHANE (D.O.)'s primary listing?
We display Brighton, Colorado because that is what the record indicates for STEPHAN W SHANE (D.O.).
How can I contact STEPHAN W SHANE (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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