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SHANE CONNOR DDS, MD
NPI 1285877654
Dentist - Oral and Maxillofacial Surgery in Waukesha, WI

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188(262) 547-8665(262) 547-8685 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Connor Dds, Md NPPES

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

SHANE CONNOR DDS, MD (NPI 1285877654) is an individual oral and maxillofacial surgery provider in Waukesha, Wisconsin, licensed in Wisconsin (6802) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of Marquette University School Of Dentistry (2009).

NPPES Registry Identity

NPI1285877654
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSHANE CONNORCredential: DDS, MD
Location Address1111 DELAFIELD ST, SUITE 222Waukesha, WI 53188-3417
Mailing Address1111 Delafield St, Suite 222Waukesha, WI 53188-3417 · (262) 547-8665 · Fax (262) 547-8685
Phone(262) 547-8665
Fax(262) 547-8685
Sole ProprietorNo
Medical School CMSMarquette University School Of DentistryGraduated 2009
Enumeration DateApril 14, 2009
Last NPPES UpdateJuly 10, 2015
✔ NPI 1285877654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 6802
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1111 DELAFIELD ST, Waukesha, WI 53188
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 Connor Dds, 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 ID7315268687
PECOS Enrollment IDI20150611002494
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

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

GREGORY R LOCHEN M.D.
Ophthalmology
1111 DELAFIELD ST, SUITE 312
WAUKESHA, WI 53188
Waukesha County (262) 547-3352
MRS. ALYSSA KATHRYN EISNER PA
Physician Assistant
1111 DELAFIELD ST, SUITE 209
WAUKESHA, WI 53188
Waukesha County (262) 542-0444
CHRISTINA K HILL LAT
Specialist/Technologist (Athletic Trainer)
1111 DELAFIELD ST, STE 120
WAUKESHA, WI 53188
Waukesha County (262) 521-9762
PROHEALTH MEDICAL GROUP INC
Clinic/Center (Radiology)
1111 DELAFIELD ST
WAUKESHA, WI 53188
Waukesha County (262) 928-4300
DR. FRANCESCA JEAN MARTIN D.D.S.
Dentist (General Practice)
1111 DELAFIELD ST, #319
WAUKESHA, WI 53188
Waukesha County (262) 549-3641
MRS. DEBRA SEILER NP
Nurse Practitioner (Family)
1111 DELAFIELD ST, SUITE 215
WAUKESHA, WI 53188
Waukesha County (262) 542-2594
VASAVI KUMAR PA
Physician Assistant
1111 DELAFIELD ST, STE 209
WAUKESHA, WI 53188
Waukesha County (262) 542-0444
MS. ERIN E DOXTATOR PT
Physical Therapist
1111 DELAFIELD ST, SUITE 120
WAUKESHA, WI 53188
Waukesha County (262) 521-9762

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 Connor's NPI number?

The NPI number for Shane Connor is 1285877654. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Shane Connor located?

Shane Connor practices at 1111 Delafield St Suite 222, Waukesha, WI 53188. The listed phone number is (262) 547-8665.

What is Shane Connor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Shane Connor enrolled in Medicare?

Yes. Shane Connor 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 Connor accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 6 other insurers list Shane Connor 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.

When was this NPI record last updated?

The NPPES record for Shane Connor was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.