SHANE TIMOTHY DESIMONE (MD) – Diagnostic Radiology Physician, NPI 1285736462
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
598 DIAGNOSTIC RADIOLOGY in KY
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Provider Addresses for SHANE TIMOTHY DESIMONE (MD)
220, Greens Landing Road, Greens Landing, Chelan County, Washington, 98831, United States
GREENSBURG, KY 427430220
Phone: (270) 932-4211
Fax: (270) 299-2041
Type: Mailing
Jane Todd Crawford Hospital, 202-206, Milby Street, Greensburg, Green County, Kentucky, 42743, United States
GREENSBURG, KY 42743
Phone: (270) 932-4211
Fax: (270) 299-2041
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: 2010-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100913000731 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 408 | 94 | $0 |
| 71046 | X-ray of chest, 2 views | 59 | 25 | $0 |
| 36573 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older | 23 | 21 | $0 |
| 71250 | Ct scan of chest without contrast | 17 | 14 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 13 | 13 | $0 |
Insurance plans in this area (ZIP 42743)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 17 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Hospitalist, Internal Medicine | NJ | |
| Emergency Medicine | KY | |
| Internal Medicine | KY | |
| Family Practice | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY |
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