DR. MICHAEL A MCSHANE (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1477563070
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MICHAEL A MCSHANE (MD)
Sawmill Road, Upper Arlington, Franklin, Ohio, 43220, United States
UPPER ARLINGTON, OH 432202246
Phone: (614) 827-8700
Fax: (614) 827-8701
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)
CMS reports 2 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($391).
Total Amount
$391
General + Research + Ownership
Payments
2
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $391 |
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: 2005-10-27
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 |
|---|---|---|---|---|
| I20051027000712 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 73564 | X-ray of knee, 4 or more views | 254 | 196 | $0 |
| 73502 | X-ray of hip, 2-3 views | 178 | 159 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 139 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 118 | 118 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 107 | 103 | $0 |
Insurance plans in this area (ZIP 43220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OH | |
| Sports Medicine, Orthopedic Surgery | OH | |
| Physical Therapist In Private Practice | OH | |
| Physician Assistant | OH | |
| Physical Therapist In Private Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Physical Therapist In Private Practice | OH |
Reviews
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