SHANE M COLEMAN (M.D., MPH) – Psychiatry Physician, NPI 1083819692
Psychiatry Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
454 PSYCHIATRY in OR
Provider Addresses for SHANE M COLEMAN (M.D., MPH)
2600 NE NEFF RD
BEND, OR 977016337
Phone: (541) 706-4800
Fax: (541) 706-4806
Type: Location
880 SW THEATER DR
BEND, OR 977023509
Phone: (206) 310-9452
Type: Mailing
3801 University Lake Dr Ste 205
Anchorage, AK 99508
Phone: (907) 729-2492
Type: Location
4320 Diplomacy Dr
Suite 1500
Anchorage, AK 995085925
Phone: (206) 310-9452
Type: Location
Yagheli Shesh Qenq’a Anchorage Native Primary Care Center, 4320, Diplomacy Drive, Anchorage, Alaska, 99508, United States
SUITE 1500
ANCHORAGE, AK 995085925
Phone: (907) 729-2500
Fax: (907) 729-8972
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-09-14
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 |
|---|---|---|---|---|
| I20130716000445 | I | Psychiatry | TX | TBD |
| I20210914001653 | I | Psychiatry | OR | 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 |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 17 | 16 | $0 |
Insurance plans in this area (ZIP 97701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Internal Medicine | CA | |
| N E U R O L O G Y | OR | |
| Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Hospitalist | OR | |
| N E U R O L O G Y | OR | |
| Family Practice | OR |
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