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DR. SHANE STEPHEN SPICER M.D.
NPI 1154457125
Psychiatry & Neurology - Psychiatry in New York, NY

Active since February 26, 2007Opted out of Medicare · through Mar 11, 2027
240 MADISON AVE FL 10B, NEW YORK, NY 10016(212) 479-8400(917) 522-9654 Get Directions Write a Review

NPPES record last updated: March 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shane Stephen Spicer M.d. NPPES

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

DR. SHANE STEPHEN SPICER M.D. (NPI 1154457125) is an individual psychiatry provider in New York, New York, licensed in New York (60-239421) and active in the NPI registry since February 2007. He has opted out of Medicare through March 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154457125
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHANE STEPHEN SPICERCredential: M.D.
Location Address240 MADISON AVE FL 10BNew York, NY 10016-2820
Mailing Address240 Madison Ave, Fl 10bNew York, NY 10016-2820 · (212) 479-8400 · Fax (917) 522-9654
Phone(212) 479-8400
Fax(917) 522-9654
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 26, 2016
✔ NPI 1154457125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 60-239421
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
240 MADISON AVE FL 10B, New York, NY 10016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Shane Stephen Spicer M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2021 through March 11, 2027.

Opt-Out Effective DateMarch 11, 2021
Opt-Out In Effect ThroughMarch 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Spicer's NPI number?

The NPI number for Shane Spicer is 1154457125. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Shane Spicer located?

Shane Spicer practices at 240 Madison Ave Fl 10B, New York, NY 10016. The listed phone number is (212) 479-8400.

What is Shane Spicer's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shane Spicer enrolled in Medicare?

No. Shane Spicer has opted out of Medicare through March 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shane Spicer was last updated on March 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.