MR. CHARLES T SHINE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1346250180
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. CHARLES T SHINE (CRNA)
4100, West 3rd Street, Residence Park, Dayton, Montgomery County, Ohio, 45417, United States
DAYTON, OH 454289000
Phone: (937) 258-6511
Fax: (937) 267-3998
Type: Location
200, East Rahn Road, South Dayton, Kettering, Montgomery County, Ohio, 45429, United States
DAYTON, OH 454295424
Phone: (937) 434-5456
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-09-20 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EAGLE PHARMACEUTICALS, INC. | $20 |
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: 2006-09-26
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 |
|---|---|---|---|---|
| I20060926000178 | I | Certified Registered Nurse Anesthetist (Crna) | OH | 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 |
|---|---|---|---|---|
| 01638 | Anesthesia for open or endoscopic total shoulder joint replacement | 17 | 17 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 15 | 15 | $0 |
| 01214 | Anesthesia for total hip replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 45428)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | FL | |
| A N E S T H E S I O L O G Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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