DR. SHANE DENNIS DIECKMAN (D.O.) – Diagnostic Radiology Physician, NPI 1487647368
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DIAGNOSTIC RADIOLOGY in NE
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Provider Addresses for DR. SHANE DENNIS DIECKMAN (D.O.)
4102 PINION DR
USAF ACADEMY, CO 808402502
Phone: (719) 333-5115
Type: Mailing
Offutt Air Force Base, Patient Parking, Capehart, Sarpy County, Nebraska, 68123, United States
OFFUTT AFB, NE 681131043
Phone: (402) 294-2448
Type: Location
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: 2019-05-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180621001282 | I | Diagnostic Radiology | NE | TBD |
| I20190508001700 | I | Diagnostic Radiology | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 894 | 894 | $0 |
| 71045 | X-ray of chest, 1 view | 682 | 633 | $0 |
| 77067 | Screening mammography | 643 | 643 | $0 |
| 77063 | Screening 3d breast mammography | 636 | 636 | $0 |
| 71046 | X-ray of chest, 2 views | 413 | 407 | $0 |
Insurance plans in this area (ZIP 80840)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CO | 71010 | X-ray of chest, 1 view, front | 39 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NE | |
| - | NE | |
| Nuclear Medicine | IA | |
| - | NE | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | MD |
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