SHANE ALAN CLARK MD
NPI 1265573067
Anesthesiology in Dallas, TX
About Shane Alan Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE ALAN CLARK MD (NPI 1265573067) is an individual anesthesiology provider in Dallas, Texas, licensed in Texas (M5105) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Arlington Memorial Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Shane Alan Clark 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 Reassignment
Medicare enrollment records show Shane Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
- 3,804 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 6
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Arlington Memorial Hospital
Acute Care Hospitals · Arlington, TXTexas Health Harris Methodist Hurst-Euless-Bedford
Acute Care Hospitals · Bedford, TXTexas Health Harris Methodist Hospital Southwest F
Acute Care Hospitals · Fort Worth, TXTexas Health Harris Methodist Hospital Southlake
Acute Care Hospitals · Southlake, TXTexas Health Harris Methodist Hospital Alliance
Acute Care Hospitals · Fort Worth, TXMedicare 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.
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
DALLAS, TX 75240
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 Clark's NPI number?
The NPI number for Shane Clark is 1265573067. It was assigned to this individual provider in the NPPES registry on February 12, 2007.
Where is Shane Clark located?
Shane Clark practices at 6606 Lbj Fwy Suite 200, Dallas, TX 75240. The listed phone number is (972) 715-5000.
What is Shane Clark's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Shane Clark enrolled in Medicare?
Yes. Shane Clark 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 Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Clark reassigns Medicare benefits to U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX). 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 Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Clark accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Molina Healthcare list Shane Clark 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 Clark affiliated with any hospitals?
According to CMS data, Shane Clark is affiliated with Texas Health Arlington Memorial Hospital, Texas Health Harris Methodist Hurst-Euless-Bedford, Texas Health Harris Methodist Hospital Southwest F, Texas Health Harris Methodist Hospital Southlake and Texas Health Harris Methodist Hospital Alliance.
When was this NPI record last updated?
The NPPES record for Shane Clark was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Shane Alan Clark, MD · NPI 1265573067
Anesthesiology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1265573067 (Entity type: Individual)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** M5105 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6606 LBJ FWY, SUITE 200, Dallas, TX 75240-6533
- **Phone:** (972) 715-5000 · **Fax:** (972) 715-9976
## 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:** U. S. Anesthesia Partners Of Texas, P.A., (NPI 1548208564, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2005
## Record status
- **NPPES last updated:** January 31, 2022
- **Other identifiers:** Medicaid 186407609 (TX); Other 8EH505 (TX); Other P01445776 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1265573067) · Data from the CMS NPPES public registry.