JULIE SHANER (M.D.) – Orthopaedic Surgery Physician, NPI 1164788832

JULIE SHANER (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD464339 (PA). The NPI Number for JULIE SHANER (M.D.) is 1164788832

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JULIE SHANER (M.D.)
NPI
1164788832
Phone
(215) 707-2111
Address
2450 W HUNTING PARK AVE
Enumeration Date
7 April 2012
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042446700
Graduation Year
2012 (14 years ago)
PAC ID
5294967550
Group Practice PAC ID
9133025869
Professional Enrollment ID
I20200612000163
Address ID
FL322096511JA655XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Digital endpointsOther names

1,621 ORTHOPEDIC SURGERY in PA

Provider Addresses for JULIE SHANER (M.D.)

  • 2450 W HUNTING PARK AVE

    PHILADELPHIA, PA 191291302

    Phone: (215) 707-2111

    Type: Mailing

  • 3509 N BROAD ST

    PHILADELPHIA, PA 191404105

    Phone: (215) 707-2111

    Fax: (215) 707-2324

    Type: Location

  • PO BOX 100286

    GAINESVILLE, FL 326100286

    Phone: (352) 265-0535

    Fax: (352) 627-4173

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 265-0301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,044.

Total Amount is formed as General ($2,044) + Research ($0) + Ownership ($0) = $2,044.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,984).

Total Amount

$2,044

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180817002176IOrthopedic SurgeryPATBD
I20200612000163IOrthopedic SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes13693$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6912$0
20610Aspiration and/or injection of fluid from large joint3428$0
73562X-ray of knee, 3 views2315$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 19129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133025869View full group profile

Reviews

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Frequently asked questions

What is the standard ID for JULIE SHANER (M.D.) in the U.S.?
In the U.S., JULIE SHANER (M.D.) is identified by NPI 1164788832.
Does the public listing show JULIE SHANER (M.D.) as active?
JULIE SHANER (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits JULIE SHANER (M.D.)?
NPPES ties JULIE SHANER (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to JULIE SHANER (M.D.)?
The directory associates JULIE SHANER (M.D.) with Philadelphia, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I export JULIE SHANER (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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