DR. SHANE M DURKES MD
NPI 1043396609
Family Medicine in Janesville, WI
About Dr. Shane M Durkes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANE M DURKES MD (NPI 1043396609) is an individual family medicine provider in Janesville, Wisconsin, licensed in Wisconsin (49764) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner St Martin Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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 M Durkes Md 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.
Medicare Billing Reassignments
16Medicare enrollment records show Shane Durkes reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bonham, TX 75418
- Reassigned Medicare billing, Louisiana enrollment
- 56 clinicians in this Medicare group
Ferriday, LA 71334
- Reassigned Medicare billing, Louisiana enrollment
- 33 clinicians in this Medicare group
Saint Francisville, LA 70775
- Reassigned Medicare billing, Louisiana enrollment
- 42 clinicians in this Medicare group
Ville Platte, LA 70586
- Reassigned Medicare billing, Louisiana enrollment
- 67 clinicians in this Medicare group
Opelousas, LA 70570
- Reassigned Medicare billing, Louisiana enrollment
- 55 clinicians in this Medicare group
Eunice, LA 70535
- Reassigned Medicare billing, Louisiana enrollment
- 76 clinicians in this Medicare group
Breaux Bridge, LA 70517
- Reassigned Medicare billing, Louisiana enrollment
- 69 clinicians in this Medicare group
La Place, LA 70068
- Reassigned Medicare billing, Louisiana enrollment
- 120 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 176 clinicians in this Medicare group
Crowley, LA 70526
- Reassigned Medicare billing, Louisiana enrollment
- 68 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner St Martin Hospital
Critical Access Hospitals · Breaux Bridge, LAWest Feliciana Parish Hospital
Critical Access Hospitals · Saint Francisville, LAHood Memorial Hospital
Critical Access Hospitals · Amite, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JANESVILLE, WI 53546
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 Durkes's NPI number?
The NPI number for Shane Durkes is 1043396609. It was assigned to this individual provider in the NPPES registry on October 27, 2006.
Where is Shane Durkes located?
Shane Durkes practices at 849 Kellogg Ave, Janesville, WI 53546. The listed phone number is (608) 755-7960.
What is Shane Durkes's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shane Durkes enrolled in Medicare?
Yes. Shane Durkes 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 Durkes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Durkes reassigns Medicare benefits to 16 organizations: Concord North Texas, PLLC (Bonham, TX), Ess Of Ferriday, LLC (Ferriday, LA), The Hospital Service District Of West Feliciana Parish Louisiana (Saint Francisville, LA), Emergency Group Of St Landry LLC (Ville Platte, LA), Opelousas Emergency Group LLC (Opelousas, LA) and 11 more organizations, listed in the Medicare section above. 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 Durkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Durkes accept?
Health plans from Anthem Blue Cross and Blue Shield, CHRISTUS Health Plan and HMO Louisiana list Shane Durkes 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 Durkes affiliated with any hospitals?
According to CMS data, Shane Durkes is affiliated with Ochsner St Martin Hospital, West Feliciana Parish Hospital and Hood Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shane Durkes was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Shane M Durkes, MD · NPI 1043396609
Family Medicine physician in Janesville, Wisconsin. Individual provider, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1043396609 (Entity type: Individual)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 49764 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 849 KELLOGG AVE, Janesville, WI 53546-2808
- **Phone:** (608) 755-7960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Concord North Texas, PLLC (NPI 1952761173, Bonham, TX); Ess Of Ferriday, LLC (NPI 1346900560, Ferriday, LA); The Hospital Service District Of West Feliciana Parish Louisiana (NPI 1164497533, Saint Francisville, LA); Emergency Group Of St Landry LLC (NPI 1164491320, Ville Platte, LA); Opelousas Emergency Group LLC (NPI 1477522704, Opelousas, LA); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 14, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1043396609) · Data from the CMS NPPES public registry.