DR. PETER YAMAMURA SHANE MD
NPI 1295513000
Internal Medicine - Rheumatology in League City, TX

Q: What is Peter Shane's NPI number?

The NPI number for Peter Shane is 1295513000. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Peter Shane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Peter Shane was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 September 21, 2023PECOS EnrolledAccepts Medicare Assignment

2660 GULF FWY S, LEAGUE CITY, TX 77573(832) 505-2150(281) 337-0704 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Peter Yamamura Shane Md NPPES

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

DR. PETER YAMAMURA SHANE MD (NPI 1295513000) is an individual rheumatology provider in League City, Texas, licensed in Texas (L3122) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Texas Medical School At Houston (1997).

NPPES Registry Identity

NPI1295513000

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. PETER YAMAMURA SHANECredential: MD

Location Address2660 GULF FWY SLeague City, TX 77573-6820

Mailing Address400 Harborside Dr Suite 100Galveston, TX 77555-1188 · (409) 772-0755 · Fax (409) 747-7012

Phone(832) 505-2150

Fax(281) 337-0704

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1997

Enumeration DateSeptember 21, 2023

Last NPPES UpdateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1295513000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in TX · L3122

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

2660 GULF FWY S, League City, TX 77573

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Secondary Practice Locations 2

Location 1400 Harborside Dr Suite 100Galveston, TX 77555-1188 · Phone (409) 772-0755 · Fax (409) 747-7012

Location 26842 Plum Creek DrAmarillo, TX 79124-1601 · Phone (806) 353-7000 · Fax (888) 905-2452

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Dr. Peter Yamamura Shane 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 ID2567443369

PECOS Enrollment IDI20231114003874

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 2

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 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.

49 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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 20

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

ANN MCNEILL PA-C

Physician Assistant