SHANE JEREMY SCANLON D.O.
NPI 1104353804
Family Medicine in Allentown, PA

Q: What is Shane Scanlon's NPI number?

The NPI number for Shane Scanlon is 1104353804. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Q: What is Shane Scanlon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Scanlon was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 12, 2017PECOS EnrolledAccepts Medicare Assignment

250 CETRONIA RD STE 115, ALLENTOWN, PA 18104(610) 395-0307(610) 395-0950 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2020, Dec 31, 2018, May 12, 2017 (3 updates tracked since 2017).

On this page

About Shane Jeremy Scanlon D.o. NPPES

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

SHANE JEREMY SCANLON D.O. (NPI 1104353804) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS020553) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2017).

NPPES Registry Identity

NPI1104353804

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHANE JEREMY SCANLONCredential: D.O.

Location Address250 CETRONIA RD STE 115Allentown, PA 18104-9168

Mailing Address2100 Mack BlvdAllentown, PA 18103-5622 · (610) 395-0307 · Fax (610) 395-0950

Phone(610) 395-0307

Fax(610) 395-0950

Sole ProprietorYes

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2017

Enumeration DateMay 12, 2017

Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1104353804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS020553

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 CETRONIA RD STE 115, Allentown, PA 18104

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Jeremy Scanlon 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 ID7012285331

PECOS Enrollment IDI20200804001803

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.

Areas of Expertise CMS Part B claims 7

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.

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.

143 services112 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.

132 services100 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

121 services121 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

37 services36 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

36 services35 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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 4

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

MARGARET RENNEISEN MD

Family Medicine

250 CETRONIA RD STE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

RILEY MANION D.O.

Family Medicine

250 CETRONIA RD STE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

JESSICA CASTRO MD

Family Medicine

250 CETRONIA RD STE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

SHOBHANA SANDHU DO

Family Medicine

250 CETRONIA RD STE 115
ALLENTOWN, PA 18104

Lehigh County (610) 395-0307

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 Scanlon's NPI number?

The NPI number for Shane Scanlon is 1104353804. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Shane Scanlon located?

Shane Scanlon practices at 250 Cetronia Rd Ste 115, Allentown, PA 18104. The listed phone number is (610) 395-0307.

What is Shane Scanlon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shane Scanlon enrolled in Medicare?

Yes. Shane Scanlon 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.

What insurance does Shane Scanlon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shane Scanlon 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 Scanlon affiliated with any hospitals?

According to CMS data, Shane Scanlon is affiliated with St Luke's Hospital Bethlehem and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Shane Scanlon was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.