DR. SHANNON KANE RATHKE (M.D.) – Anatomic Pathology Physician, NPI 1891968616

DR. SHANNON KANE RATHKE (M.D.) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 53566-20 (WI). The NPI Number for DR. SHANNON KANE RATHKE (M.D.) is 1891968616

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON KANE RATHKE (M.D.)
NPI
1891968616
Phone
(920) 929-9300
Address
PO BOX 107
Enumeration Date
12 April 2008
Last Update Date
9 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
6082516100
Graduation Year
2006 (20 years ago)
PAC ID
5890929996
Group Practice PAC ID
9739285479
Professional Enrollment ID
I20131003000112
Address ID
WI537151830MA700XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

354 PATHOLOGY in WI

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Provider Addresses for DR. SHANNON KANE RATHKE (M.D.)

  • PO BOX 107

    FOND DU LAC, WI 549360107

    Phone: (920) 929-9300

    Type: Mailing

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 929-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Beckman Coulter, Inc. ($64).

Total Amount

$64

General + Research + Ownership

Payments

2

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Beckman Coulter, Inc.$64
View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131003000112IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity555303$0
88341Special stained specimen slides to examine tissue, each additional procedure10837$0
88342Special stained specimen slides to examine tissue, initial procedure8270$0
84165Protein measurement, serum6551$0
88313Special stained specimen slides to examine tissue including interpretation and report5033$0
View full utilization report →

Insurance plans in this area (ZIP 54936)

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Provider's Procedures

DR. SHANNON KANE RATHKE (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYWI88307Pathology examination of tissue using a microscope, moderately high complexity3922
PATHOLOGYWI88312Special stained specimen slides to identify organisms including interpretation and report2321
PATHOLOGYWI88342Tissue or cell analysis by immunologic technique1313

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: 9739285479View full group profile
NameSpecialtyState
P A T H O L O G YWI
P A T H O L O G YIL
P A T H O L O G YWI
P A T H O L O G YIN
P A T H O L O G YOH
P A T H O L O G YWI
P A T H O L O G YWI
P A T H O L O G YMO
-WI
P A T H O L O G YWI

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Frequently asked questions

How do I look up DR. SHANNON KANE RATHKE (M.D.) by NPI?
Use NPI 1891968616 when you need to reference DR. SHANNON KANE RATHKE (M.D.) in forms, claims, or directories.
Is DR. SHANNON KANE RATHKE (M.D.) active in the national directory?
DR. SHANNON KANE RATHKE (M.D.)'s public NPI profile is in an active state.
What field does DR. SHANNON KANE RATHKE (M.D.) work in?
You can think of DR. SHANNON KANE RATHKE (M.D.) as practicing within Anatomic Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SHANNON KANE RATHKE (M.D.)?
The page summarizes Fond Du Lac, Wisconsin for DR. SHANNON KANE RATHKE (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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