DR. SHANE T SEROYER (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1487857892
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,189 ORTHOPEDIC SURGERY in TX
Provider Addresses for DR. SHANE T SEROYER (M.D.)
76 Regency Pkwy
Mansfield, TX 760637816
Phone: (817) 419-0303
Fax: (833) 626-1951
Type: Location
3533, Matlock Road, Arlington, Tarrant County, Texas, 76015, United States
ARLINGTON, TX 760153604
Phone: (817) 419-0303
Fax: (817) 468-5963
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 $346.
Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ORTHO DEVELOPMENT CORPORATION ($285).
Total Amount
$346
General + Research + Ownership
Payments
6
Total payment records
General Amount
$346
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ORTHO DEVELOPMENT CORPORATION | $285 |
| Molnlycke Health Care US, LLC | $47 |
| Medtronic, Inc. | $14 |
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: 2009-08-13
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 |
|---|---|---|---|---|
| I20090813000813 | I | Orthopedic Surgery | TX | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 6,582 | 204 | $0 |
| 97530 | Therapy procedure using functional activities | 1,508 | 115 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,339 | 202 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 473 | 300 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 362 | 200 | $0 |
Insurance plans in this area (ZIP 76063)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Orthopedic Surgery | TX | |
| Physician Assistant | TX | |
| Physician Assistant | WI | |
| Physician Assistant | TX | |
| Orthopedic Surgery, Hand Surgery | NC | |
| Physician Assistant | TX | |
| Physician Assistant | AZ |
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