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DR. SHANE MARSHALL D.O.
NPI 1073819314
Emergency Medicine in Tulsa, OK

Active since February 03, 2011PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
4813 S 187TH EAST AVE, TULSA, OK 74134(208) 371-5536 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shane Marshall D.o. NPPES

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

DR. SHANE MARSHALL D.O. (NPI 1073819314) is an individual emergency medicine provider in Tulsa, Oklahoma, licensed in Oregon (DO184177) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1073819314
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHANE MARSHALLCredential: D.O.
Location Address4813 S 187TH EAST AVETulsa, OK 74134-7203
Mailing Address4813 S 187th East AveTulsa, OK 74134-7203 · (208) 371-5536
Phone(208) 371-5536
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2009
Enumeration DateFebruary 3, 2011
Last NPPES UpdateOctober 4, 2017
✔ NPI 1073819314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · DO184177
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 4925 (OK)
4813 S 187TH EAST AVE, Tulsa, OK 74134
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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 Marshall 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 ID3779761911
PECOS Enrollment IDI20131112001391, I20171207002447
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 Reassignment

Medicare enrollment records show Shane Marshall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America LLC
1,003 mi
Emergency Medicine
777 HOSPITAL WAY
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho and Oregon enrollments
  • Also billed through NPI 1790209898 (Oregon)
  • 81 clinicians in this Medicare group
NPI 1962257410 (208) 239-1000

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
236 services229 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
154 services146 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74134 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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 Marshall's NPI number?

The NPI number for Shane Marshall is 1073819314. It was assigned to this individual provider in the NPPES registry on February 3, 2011.

Where is Shane Marshall located?

Shane Marshall practices at 4813 S 187th East Ave, Tulsa, OK 74134. The listed phone number is (208) 371-5536.

What is Shane Marshall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shane Marshall enrolled in Medicare?

Yes. Shane Marshall 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 organization bills Medicare for Shane Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Marshall reassigns Medicare benefits to Cep America LLC (Pocatello, ID). The 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 Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shane Marshall affiliated with any hospitals?

According to CMS data, Shane Marshall is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Shane Marshall was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.