DR. SHANE E OTTMANN (MD) – Surgery Physician, NPI 1629006374

DR. SHANE E OTTMANN (MD) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD61609280 (WA). The NPI Number for DR. SHANE E OTTMANN (MD) is 1629006374

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE E OTTMANN (MD)
NPI
1629006374
Phone
(717) 231-8700
Address
205 SOUTH FRONT STREET
Enumeration Date
30 June 2006
Last Update Date
5 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065262000
Graduation Year
1999 (27 years ago)
PAC ID
0840462354
Group Practice PAC ID
9133032964
Professional Enrollment ID
I20241120001105
Address ID
WA981053901SE4800XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,999 GENERAL SURGERY in PA

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Provider Addresses for DR. SHANE E OTTMANN (MD)

  • 205, South Front Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    8TH FLOOR BMA

    HARRISBURG, PA 171041619

    Phone: (717) 231-8700

    Fax: (717) 231-8753

    Type: Location

  • 2, South 2nd Street, Harrisburg, Dauphin County, Pennsylvania, 17104, United States

    HARRISBURG, PA 171041612

    Phone:

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

  • 1959 NE PACIFIC ST

    SEATTLE, WA 981951619

    Phone: (206) 520-5000

    Type: Location

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: 2024-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20111121000357IGeneral SurgeryMDTBD
I20161109002274IGeneral SurgeryDCTBD
I20241120001105IGeneral SurgeryWATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes24738$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes21437$0
50323Preparation of donor kidney for transplantation1818$0
50360Transplantation of donor kidney1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 17104)

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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: 9133032964View full group profile
NameSpecialtyState
Pediatric MedicineWA
-WA
Pediatric Medicine, Hematology/OncologyCA
-WA
Diagnostic Radiology, Pediatric MedicineWA
Nurse PractitionerWA
A N E S T H E S I O L O G YWA
General Surgery, Thoracic Surgery, Surgical OncologyWA
-WA
-WA

Reviews

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Frequently asked questions

What identifier follows DR. SHANE E OTTMANN (MD) across health systems?
The NPI 1629006374 uniquely identifies DR. SHANE E OTTMANN (MD) in U.S. healthcare data.
Does the public listing show DR. SHANE E OTTMANN (MD) as active?
DR. SHANE E OTTMANN (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. SHANE E OTTMANN (MD)'s listing?
DR. SHANE E OTTMANN (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. SHANE E OTTMANN (MD) in Harrisburg, Pennsylvania?
For routing, start with Harrisburg, Pennsylvania for DR. SHANE E OTTMANN (MD), then verify phone and hours locally.
Can I export DR. SHANE E OTTMANN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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