DR. SHANON DAIL SMITH (MD) – Diagnostic Radiology Physician, NPI 1174664163
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 INTERNAL MEDICINE in NE
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Provider Addresses for DR. SHANON DAIL SMITH (MD)
Mary Lanning Healthcare, 715, North Saint Joseph Avenue, Countryside Parks, Hastings, Adams County, Nebraska, 68901, United States
HASTINGS, NE 689014451
Phone: (402) 463-0404
Fax: (402) 462-4264
Mailing address matches the actual address.
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.
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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: 2019-02-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090616000720 | I | Diagnostic Radiology | NE | TBD |
| I20190208002896 | I | Diagnostic Radiology | GA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 26,502 | 306 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 2,450 | 16 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 295 | 290 | $0 |
| 76376 | 3d radiographic procedure | 223 | 217 | $0 |
| 71046 | X-ray of chest, 2 views | 218 | 216 | $0 |
Insurance plans in this area (ZIP 68901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NE | 71010 | X-ray of chest, 1 view, front | 1080 | 782 |
| DIAGNOSTIC RADIOLOGY | NE | 73110 | X-ray of wrist, minimum of 3 views | 40 | 38 |
| DIAGNOSTIC RADIOLOGY | NE | 73630 | X-ray of foot, minimum of 3 views | 59 | 55 |
| DIAGNOSTIC RADIOLOGY | NE | 74177 | CT scan of abdomen and pelvis with contrast | 251 | 239 |
| DIAGNOSTIC RADIOLOGY | NE | 93922 | Ultrasound study of arteries of both arms and legs | 71 | 69 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA |
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