DR. SHANE E MACAULAY (M.D.) – Diagnostic Radiology Physician, NPI 1255353710
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
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Provider Addresses for DR. SHANE E MACAULAY (M.D.)
11811, Northeast 128th Street, Juanita, Kirkland, King County, Washington, 98034, United States
SUITE 202
KIRKLAND, WA 980347200
Phone: (425) 250-1145
Fax: (425) 823-6028
Type: Mailing
Center of Diagnostic Imaging, 1310, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98009, United States
SUITE E
BELLEVUE, WA 980043817
Phone: (425) 250-1145
Fax: (425) 823-6028
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: 2024-07-03
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 |
|---|---|---|---|---|
| I20051220000511 | I | Diagnostic Radiology | WA | TBD |
| I20240703000874 | I | Diagnostic Radiology | ID | 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 |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 3,707 | 29 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 119 | 16 | $0 |
| 73721 | Mri scan of leg joint without contrast | 39 | 37 | $0 |
| 73221 | Mri scan of arm joint without contrast | 34 | 33 | $0 |
| 73700 | Ct scan of leg without contrast | 24 | 24 | $0 |
Insurance plans in this area (ZIP 98034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 73562 | X-ray of knee, 3 views | 22 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MA |
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