DR. SHANE DAMIEN O'KEEFFE (MD) – Vascular Surgery Physician, NPI 1003060294

DR. SHANE DAMIEN O'KEEFFE (MD) is a healthcare provider. based in Bowling green, Kentucky. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 43021 (KY). The NPI Number for DR. SHANE DAMIEN O'KEEFFE (MD) is 1003060294

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE DAMIEN O'KEEFFE (MD)
NPI
1003060294
Phone
(270) 796-3330
Address
PO BOX 2697
Enumeration Date
14 November 2008
Last Update Date
6 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707802690
Graduation Year
1997 (29 years ago)
PAC ID
3870619190
Group Practice PAC ID
7719899947
Professional Enrollment ID
I20100923001416
Address ID
KY421011791BO825XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

105 VASCULAR SURGERY in KY

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Provider Addresses for DR. SHANE DAMIEN O'KEEFFE (MD)

  • PO BOX 2697

    BOWLING GREEN, KY 421027697

    Phone: (270) 796-3330

    Fax: (270) 796-3338

    Type: Mailing

  • Medical Arts Building, 350, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States

    SUITE 210

    BOWLING GREEN, KY 421011784

    Phone: (270) 796-3330

    Fax: (270) 796-3338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $2,181.

Total Amount is formed as General ($2,181) + Research ($0) + Ownership ($0) = $2,181.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($459).

Total Amount

$2,181

General + Research + Ownership

Payments

41

Total payment records

General Amount

$2,181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2010-09-23

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
I20100923001416IVascular SurgeryKYTBD

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
93880Ultrasound of both sides of head and neck blood flow138125$0
99214Established patient office or other outpatient visit, 30-39 minutes8771$0
99213Established patient office or other outpatient visit, 20-29 minutes7671$0
93925Ultrasound of leg arteries or artery grafts6859$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 42102)

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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: 7719899947View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyKY
N E U R O L O G YKY
-KY
Nurse PractitionerKY
Registered Dietitian Or Nutrition ProfessionalKY
General SurgeryTN
Diagnostic Radiology, Interventional RadiologyIN
P S Y C H I A T R YKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for DR. SHANE DAMIEN O'KEEFFE (MD) in the U.S.?
In the U.S., DR. SHANE DAMIEN O'KEEFFE (MD) is identified by NPI 1003060294.
Does the public listing show DR. SHANE DAMIEN O'KEEFFE (MD) as active?
DR. SHANE DAMIEN O'KEEFFE (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. SHANE DAMIEN O'KEEFFE (MD)'s listing?
DR. SHANE DAMIEN O'KEEFFE (MD)'s public classification highlights Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHANE DAMIEN O'KEEFFE (MD)?
The directory associates DR. SHANE DAMIEN O'KEEFFE (MD) with Bowling Green, Kentucky. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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