SHANE EDWARD STIDHAM (M.D.) – Anesthesiology Physician, NPI 1083644736
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
580 ANESTHESIOLOGY in OK
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Provider Addresses for SHANE EDWARD STIDHAM (M.D.)
3650, West Rock Creek Road, Norman, Cleveland County, Oklahoma, 73072, United States
SUITE 100
NORMAN, OK 730722202
Phone: (405) 701-3418
Fax: (405) 701-3451
Type: Mailing
3650 W ROCK CREEK RD STE 100
NORMAN, OK 730722202
Phone: (405) 701-3418
Fax: (405) 701-3451
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($66).
Total Amount
$116
General + Research + Ownership
Payments
6
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Forte Bio-Pharma LLC | $66 |
| Medtronic, Inc. | $49 |
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: 2006-09-13
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 |
|---|---|---|---|---|
| I20060913000141 | I | Anesthesiology | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 493 | 173 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 467 | 127 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 335 | 48 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 295 | 148 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 197 | 112 | $0 |
Insurance plans in this area (ZIP 73072)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OK | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 18 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | OK | |
| Nurse Practitioner | OK | |
| Anesthesiology, Pain Management | OK |
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