SHANE ALAN CLARK MD
NPI 1265573067
Anesthesiology in Dallas, TX

Q: 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.

Q: What is Shane Clark's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: 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.

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment

93.5/100

CMS Quality Rating

6606 LBJ FWY, SUITE 200, DALLAS, TX 75240(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2022, Jun 12, 2020 (2 updates tracked since 2020).

On this page

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

NPI1265573067

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameSHANE ALAN CLARKCredential: MD

Location Address6606 LBJ FWY, SUITE 200Dallas, TX 75240-6533

Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 715-5000 · Fax (972) 715-9976

Phone(972) 715-5000

Fax(972) 715-9976

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2005

Enumeration DateFebruary 12, 2007

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2022

✔ NPI 1265573067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in TX · M5105

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

6606 LBJ FWY, Dallas, TX 75240

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Other Identifiers 3

Medicaid186407609TX

Other8EH505TX · Bcbs

OtherP01445776TX · Rairlaod

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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 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.

PECOS PAC ID5991898496

PECOS Enrollment IDI20070829000352

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 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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

28 services28 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

17 services17 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

13 services13 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

12 services12 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

12 services12 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450064

Location800 W Randol Mill RdArlington, TX 76012 · Tarrant County

Emergency services Birthing friendly

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450639

Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County

Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX

OwnershipGovernment - State

CMS Certification Number450888

Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County

Emergency services

Texas Health Harris Methodist Hospital Alliance

Acute Care Hospitals · Fort Worth, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670085

Location10864 Texas Health TrailFort Worth, TX 76244 · Tarrant County

Emergency services Birthing friendly

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.

93.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.15

Improvement Activities

Cost

83.57

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.

ADAM PEEPLES CRNA

Nurse Anesthetist, Certified Registered

6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

Dallas County (972) 715-5000

JEANNIE K MURPHY CRNA

Nurse Anesthetist, Certified Registered

6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

Dallas County (972) 715-5000

MARSHALL ANDERSEN CRNA

Nurse Anesthetist, Certified Registered

6606 LBJ FWY, STE. 200
DALLAS, TX 75240

Dallas County (972) 715-5000

JORGE AVILA-HERNANDEZ MD

Anesthesiology

6606 LBJ FWY, STE. 200
DALLAS, TX 75240

Dallas County (972) 715-5000

DR. JAMES PYRON M.D.

Anesthesiology

6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

Dallas County (972) 715-5000

WARREN CUSICK CRNA

Nurse Anesthetist, Certified Registered

6606 LBJ FWY, STE. 200
DALLAS, TX 75240

Dallas County (972) 715-5000

DR. SHANON M. COOKE MD

Anesthesiology

6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

Dallas County (972) 715-5000

RONALD PRESTAGE CRNA

Nurse Anesthetist, Certified Registered

6606 LBJ FWY, SUITE 200
DALLAS, TX 75240

Dallas County (972) 715-5000

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.

What insurance does Shane Clark accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company 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 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.