DR. SHANE JOSEPH LARUE (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1811955180

DR. SHANE JOSEPH LARUE (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 2009013305 (MO). The NPI Number for DR. SHANE JOSEPH LARUE (MD) is 1811955180

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE JOSEPH LARUE (MD)
NPI
1811955180
Phone
(314) 362-1291
Address
4921 Parkview Pl Ste 8A
Enumeration Date
3 May 2006
Last Update Date
3 March 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
3149916969
Graduation Year
2005 (21 years ago)
PAC ID
3870685365
Group Practice PAC ID
2062774755
Professional Enrollment ID
I20130729000851
Address ID
MO631416836SA450XXRDXX502

Contacts

Secure Messaging
slarue@hannibalclinic.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

Provider Addresses for DR. SHANE JOSEPH LARUE (MD)

  • 4921 Parkview Pl Ste 8A

    Ste 8A

    Saint Louis, MO 631101032

    Phone: (314) 362-1291

    Fax: (314) 362-4278

    Type: Location

  • 100 MEDICAL DR

    HANNIBAL, MO 634016877

    Phone: (573) 221-5250

    Fax: (573) 221-1659

    Type: Mailing

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    C B 8056

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-1291

    Fax: (314) 362-4278

    Type: Mailing

  • Parkview Place, WashU, City of Saint Louis, Missouri, 63110, United States

    STE 8A

    SAINT LOUIS, MO 631101032

    Phone: (314) 362-1291

    Fax: (314) 362-4278

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $25,300.

Total Amount is formed as General ($25,300) + Research ($0) + Ownership ($0) = $25,300.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($20,553).

Total Amount

$25,300

General + Research + Ownership

Payments

20

Total payment records

General Amount

$25,300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2013-07-29

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
I20130729000851ICardiovascular Disease (Cardiology)MOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,072260$0
99214Established patient office or other outpatient visit, 30-39 minutes541262$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes191167$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes158148$0
99204New patient office or other outpatient visit, 45-59 minutes9797$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 2062774755View full group profile
NameSpecialtyState
Nurse PractitionerMO
Interventional Cardiology, Nephrology, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
-MO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
-MO
Internal Medicine, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MO
Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SHANE JOSEPH LARUE (MD)'s NPI?
Yes. DR. SHANE JOSEPH LARUE (MD) is listed with NPI 1811955180 in the public NPI dataset.
Is DR. SHANE JOSEPH LARUE (MD) still practicing?
DR. SHANE JOSEPH LARUE (MD) is currently listed as active in the public NPI registry.
What is DR. SHANE JOSEPH LARUE (MD)'s specialty?
The listing groups DR. SHANE JOSEPH LARUE (MD) with Advanced Heart Failure and Transplant Cardiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHANE JOSEPH LARUE (MD)?
DR. SHANE JOSEPH LARUE (MD)'s geographic hint is Saint Louis, Missouri in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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