DR. SHANE MYLES YORK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1588613780

DR. SHANE MYLES YORK (DPM) is a healthcare provider. based in Rochelle, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P-189 (ID). The NPI Number for DR. SHANE MYLES YORK (DPM) is 1588613780

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE MYLES YORK (DPM)
NPI
1588613780
Phone
(815) 561-7100
Address
900 N 2nd St
Enumeration Date
8 May 2006
Last Update Date
1 December 2020

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0143241026
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20061017000353
Address ID
IL601159602DE5XXXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for DR. SHANE MYLES YORK (DPM)

  • 900 N 2nd St

    Rochelle, IL 610681764

    Phone: (815) 561-7100

    Fax: (815) 748-8091

    Type: Location

  • 1310 N Main St Ste 100

    Sandwich, IL 605481394

    Phone: (815) 758-0000

    Fax: (815) 786-3603

    Type: Location

  • 2111, Midlands Court, Edgebrook Mobile Home Park, Sycamore, DeKalb County, Illinois, 60178, United States

    SYCAMORE, IL 601783125

    Phone: (815) 758-0000

    Fax: (815) 756-7130

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-09 • Largest payer in this snapshot: ZIMVIE INC. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZIMVIE INC.$15
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: 2006-10-17

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
I20061017000353IPodiatryILTBD

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 minutes290161$0
J1100Injection, dexamethasone sodium phosphate, 1 mg17945$0
73630X-ray of foot, minimum of 3 views153110$0
99214Established patient office or other outpatient visit, 30-39 minutes130104$0
99204New patient office or other outpatient visit, 45-59 minutes7272$0
View full utilization report →

Insurance plans in this area (ZIP 61068)

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Provider's Procedures

DR. SHANE MYLES YORK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL73630X-ray of foot, minimum of 3 views192124

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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHANE MYLES YORK (DPM)?
DR. SHANE MYLES YORK (DPM) — NPI 1588613780 — is the standard way to identify this listing.
Does the file indicate DR. SHANE MYLES YORK (DPM) is practicing under active NPI?
Directory data currently reports DR. SHANE MYLES YORK (DPM) as active.
What is DR. SHANE MYLES YORK (DPM)'s specialty?
The listing groups DR. SHANE MYLES YORK (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SHANE MYLES YORK (DPM) on a map?
Expect Rochelle, Illinois as a primary anchor for DR. SHANE MYLES YORK (DPM) unless the record lists multiple sites.
Why does DR. SHANE MYLES YORK (DPM) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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