DR. SHANE PATRICK HENNESSY D.O.
NPI 1033520226
Family Medicine - Sports Medicine in Belle Vernon, PA

Q: What is Shane Hennessy's NPI number?

The NPI number for Shane Hennessy is 1033520226. It was assigned to this individual provider in the NPPES registry on May 11, 2014.

Q: What is Shane Hennessy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Shane Hennessy was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2014PECOS EnrolledAccepts Medicare Assignment

800 PLAZA DR STE 400, BELLE VERNON, PA 15012(724) 379-5816(724) 379-5813 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Shane Patrick Hennessy D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE PATRICK HENNESSY D.O. (NPI 1033520226) is an individual sports medicine provider in Belle Vernon, Pennsylvania, licensed in Pennsylvania (OS018852) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Mon Valley, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033520226

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. SHANE PATRICK HENNESSYCredential: D.O.

Location Address800 PLAZA DR STE 400Belle Vernon, PA 15012

Mailing Address800 Plaza Dr, Suite 400Belle Vernon, PA 15012-4019 · (724) 379-5816 · Fax (724) 379-5874

Phone(724) 379-5816

Fax(724) 379-5813

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 11, 2014

Last NPPES UpdateJuly 2, 2018

✔ NPI 1033520226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in PA · OS018852

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

800 PLAZA DR STE 400, Belle Vernon, PA 15012

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane Patrick Hennessy D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507182607

PECOS Enrollment IDI20180712000530

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shane Hennessy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monongahela Valley Hospital, Inc.

0.2 mi

Orthopaedic Surgery

800 PLAZA DR STE 400
Rostraver Township, PA 15012

Reassigned Medicare billing, Pennsylvania enrollment
59 clinicians in this Medicare group

NPI 1790497238 (724) 379-5802

Monvale Orthopedics, Inc.

5.1 mi

Orthopaedic Surgery

800 PLAZA DR STE 400
Rostraver Township, PA 15012

Reassigned Medicare billing, Pennsylvania enrollment
22 clinicians in this Medicare group

NPI 1487677498 (724) 379-5802

Mon-Vale Primary Care Practices Inc

5.1 mi

Family Medicine

800 PLAZA DR STE 290
Rostraver Township, PA 15012

Reassigned Medicare billing, Pennsylvania enrollment
17 clinicians in this Medicare group

NPI 1669715843 (724) 379-6850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

177 services76 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

140 services92 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

88 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services47 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

60 services47 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

56 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

15 services11 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

15 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services11 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390147

Location1163 Country Club RoadMonongahela, PA 15063 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK GINDLESPERGER

Physician Assistant (Surgical)

800 PLAZA DR STE 400
ROSTRAVER TOWNSHIP, PA 15012

Fayette County (724) 379-5802

ERIC L PRITTS PA-C

Physician Assistant (Surgical)

800 PLAZA DR STE 400
ROSTRAVER TWP, PA 15012

Fayette County (724) 379-5802

BRIAN S WALTERS NP

Nurse Practitioner (Family)

800 PLAZA DR STE 400
ROSTRAVER TWP, PA 15012

Fayette County (724) 379-5802

MONVALE ORTHOPEDICS, INC.

Orthopaedic Surgery

800 PLAZA DR STE 400
ROSTRAVER TOWNSHIP, PA 15012

Fayette County (724) 379-5802

MORGAN ANN BAXTER DPM

Podiatrist (Foot & Ankle Surgery)

800 PLAZA DR STE 400
ROSTRAVER TWP, PA 15012

Fayette County (724) 379-5802

BRIAN RUBY

Physician Assistant (Medical)

800 PLAZA DR STE 400
ROSTRAVER TWP, PA 15012

Fayette County (724) 379-5802

JUSTIN J SHEBA DO

Orthopaedic Surgery

800 PLAZA DR STE 400
ROSTRAVER TWP, PA 15012

Fayette County (724) 379-5802

MONONGAHELA VALLEY HOSPITAL, INC.

Orthopaedic Surgery

800 PLAZA DR STE 400
ROSTRAVER TOWNSHIP, PA 15012

Fayette County (724) 379-5802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Hennessy's NPI number?

The NPI number for Shane Hennessy is 1033520226. It was assigned to this individual provider in the NPPES registry on May 11, 2014.

Where is Shane Hennessy located?

Shane Hennessy practices at 800 Plaza Dr Ste 400, Belle Vernon, PA 15012. The listed phone number is (724) 379-5816.

What is Shane Hennessy's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Shane Hennessy enrolled in Medicare?

Yes. Shane Hennessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shane Hennessy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Hennessy reassigns Medicare benefits to 3 organizations: Monongahela Valley Hospital, Inc. (Rostraver Township, PA), Monvale Orthopedics, Inc. (Rostraver Township, PA) and Mon-Vale Primary Care Practices Inc (Rostraver Township, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Hennessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Hennessy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shane Hennessy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shane Hennessy affiliated with any hospitals?

According to CMS data, Shane Hennessy is affiliated with Penn Highlands Mon Valley.

When was this NPI record last updated?

The NPPES record for Shane Hennessy was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.