DR. SHANE R FANCHER (MD) – Anesthesiology Physician, NPI 1427055433

DR. SHANE R FANCHER (MD) is a healthcare provider. based in Decatur, Illinois. specializing in INTERVENTIONAL PAIN MANAGEMENT, ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 036-094339 (IL). The NPI Number for DR. SHANE R FANCHER (MD) is 1427055433

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE R FANCHER (MD)
NPI
1427055433
Phone
(217) 425-9665
Address
4160 S LAKE CT
Enumeration Date
5 July 2005
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7087839100
Graduation Year
1992 (34 years ago)
PAC ID
8022045616
Group Practice PAC ID
1052576519
Professional Enrollment ID
I20070921000797
Address ID
IL604023429BE3249XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Digital endpointsOther names

309 INTERVENTIONAL PAIN MANAGEMENT in IL

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Provider Addresses for DR. SHANE R FANCHER (MD)

  • Lake Court, Decatur, Adams County, Indiana, 46733, United States

    DECATUR, IL 625218440

    Phone: (217) 425-9665

    Fax: (217) 425-9664

    Type: Mailing

  • Saint Mary's Hospital, 1800, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213810

    Phone: (217) 464-2729

    Fax: (217) 464-1693

    Type: Location

  • 1000 Health Center Dr

    Mattoon, IL 619384644

    Phone: (217) 258-2440

    Fax: (217) 258-2186

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($30).

Total Amount

$118

General + Research + Ownership

Payments

6

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-09-21

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
I20070921000797IInterventional Pain ManagementILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes270190$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6362$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)6362$0
00811Anesthesia for other procedure on large bowel using an endoscope6160$0
00142Anesthesia for lens surgery4444$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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Provider's Procedures

DR. SHANE R FANCHER (MD) performs procedures in INTERVENTIONAL PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTIL20610Aspiration and/or injection of large joint or joint capsule11387
INTERVENTIONAL PAIN MANAGEMENTIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1818

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: 1052576519View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIA
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Certified Registered Nurse Anesthetist (Crna)VA

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Frequently asked questions

What is the standard ID for DR. SHANE R FANCHER (MD) in the U.S.?
In the U.S., DR. SHANE R FANCHER (MD) is identified by NPI 1427055433.
Does the public listing show DR. SHANE R FANCHER (MD) as active?
DR. SHANE R FANCHER (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. SHANE R FANCHER (MD)?
NPPES ties DR. SHANE R FANCHER (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SHANE R FANCHER (MD) in Decatur, Illinois?
For routing, start with Decatur, Illinois for DR. SHANE R FANCHER (MD), then verify phone and hours locally.
Can I export DR. SHANE R FANCHER (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.