DR. SHANE BLAKE ANDERSON (D.O.) – Diagnostic Radiology Physician, NPI 1144208661
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Loading map...
Provider Addresses for DR. SHANE BLAKE ANDERSON (D.O.)
Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States
BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234
Phone:
Type: Mailing
5334 S WOODROW ST STE 100
MURRAY, UT 841075838
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-07-06 • Largest payer in this snapshot: Becton, Dickinson and Company ($39).
Total Amount
$39
General + Research + Ownership
Payments
1
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Becton, Dickinson and Company | $39 |
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: 2017-09-22
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 |
|---|---|---|---|---|
| I20170922000341 | I | Diagnostic Radiology | UT | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 226 | 203 | $0 |
| 70450 | Ct scan head or brain without contrast | 121 | 115 | $0 |
| 77067 | Screening mammography | 87 | 87 | $0 |
| 77063 | Screening 3d breast mammography | 84 | 84 | $0 |
| 71046 | X-ray of chest, 2 views | 82 | 81 | $0 |
Insurance plans in this area (ZIP 78234)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | AZ | |
| - | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.