DR. SHANE COLBY LEAVITT (M.D.) – Orthopaedic Surgery Physician, NPI 1942417811
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
780 ORTHOPEDIC SURGERY in WA
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Provider Addresses for DR. SHANE COLBY LEAVITT (M.D.)
3726, Broadway, Everett, Snohomish County, Washington, 98201, United States
SUITE 201
EVERETT, WA 982013787
Phone: (425) 317-9119
Fax: (425) 317-9118
Type: Mailing
3726, Broadway, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
SUITE 201
EVERETT, WA 98201
Phone: (425) 317-9119
Fax: (425) 317-9118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $287.
Total Amount is formed as General ($287) + Research ($0) + Ownership ($0) = $287.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($75).
Total Amount
$287
General + Research + Ownership
Payments
12
Total payment records
General Amount
$287
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $75 |
| Zimmer Biomet Holdings, Inc. | $73 |
| Curonix LLC | $31 |
| Paragon 28, Inc. | $23 |
| Smith+Nephew, Inc. | $19 |
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: 2021-02-18
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 |
|---|---|---|---|---|
| I20210218001460 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 252 | 158 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 196 | 81 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 129 | 129 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 91 | $0 |
| 20550 | Injection into tendon or ligament | 56 | 32 | $0 |
Insurance plans in this area (ZIP 98201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 73562 | X-ray of knee, 3 views | 27 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| - | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID |
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