DR. SHANE PATRICK DUGGAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1417687724

DR. SHANE PATRICK DUGGAN (DPM) is a healthcare provider. based in Evansville, Indiana. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 298099 (KY). The NPI Number for DR. SHANE PATRICK DUGGAN (DPM) is 1417687724

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE PATRICK DUGGAN (DPM)
NPI
1417687724
Phone
(812) 424-9291
Address
5828 Pearl Dr
Enumeration Date
10 June 2022
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
8124249291
Graduation Year
2022 (4 years ago)
PAC ID
6709384217
Group Practice PAC ID
2163490285
Professional Enrollment ID
I20250818003834
Address ID
KY424206102HE340XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

393 PODIATRY in IN

Provider Addresses for DR. SHANE PATRICK DUGGAN (DPM)

  • 5828 Pearl Dr

    Evansville, IN 477128116

    Phone: (812) 424-9291

    Fax: (812) 421-2722

    Type: Location

  • SANFORD HEALTH 801 BROADWAY NORTH

    FARGO, ND 581220001

    Phone: (701) 234-5933

    Fax: (701) 234-7230

    Type: Mailing

  • PO BOX 328

    EVANSVILLE, IN 477020328

    Phone: (812) 424-9291

    Fax: (812) 421-2722

    Type: Mailing

  • 10455 ORTHOPAEDIC DR

    NEWBURGH, IN 476307955

    Phone: (812) 424-9291

    Fax: (812) 421-2722

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $2,459.

Total Amount is formed as General ($2,459) + Research ($0) + Ownership ($0) = $2,459.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($1,711).

Total Amount

$2,459

General + Research + Ownership

Payments

40

Total payment records

General Amount

$2,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2025-08-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250813000454IPodiatryINTBD
I20250818003834IPodiatryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47712)

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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: 2163490285View full group profile
NameSpecialtyState
-KY
Orthopedic SurgeryIN
Physician AssistantIN
Physician AssistantIN
Physician AssistantIN
P O D I A T R YIN
-IN
-IN
Physical Medicine And RehabilitationIN
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

Can I cross-check DR. SHANE PATRICK DUGGAN (DPM) using NPI 1417687724?
NPI 1417687724 belongs to DR. SHANE PATRICK DUGGAN (DPM); compare other details if you need extra assurance.
Is DR. SHANE PATRICK DUGGAN (DPM) still an active registrant?
DR. SHANE PATRICK DUGGAN (DPM) carries an active NPI according to the public dataset.
What area of care is associated with DR. SHANE PATRICK DUGGAN (DPM)?
DR. SHANE PATRICK DUGGAN (DPM)'s record emphasizes Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where in Indiana is DR. SHANE PATRICK DUGGAN (DPM) registered?
Use Evansville, Indiana as the headline location for DR. SHANE PATRICK DUGGAN (DPM) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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