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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE METZLER
NPI 1326604075
Internal Medicine - Interventional Cardiology in Gallatin, TN

Active since May 17, 2019PECOS EnrolledAccepts Medicare Assignment
300 STEAM PLANT RD STE 310, GALLATIN, TN 37066(615) 451-9200(615) 451-1246 Get Directions Write a Review

NPPES record last updated: October 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2026, Jun 2, 2026, Apr 7, 2021 and 2 more (5 updates tracked since 2019).

About Shane Metzler NPPES

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

SHANE METZLER (NPI 1326604075) is an individual interventional cardiology provider in Gallatin, Tennessee, licensed in Tennessee (76713) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326604075
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSHANE METZLER
Location Address300 STEAM PLANT RD STE 310Gallatin, TN 37066-3089
Mailing Address300 Steam Plant Rd Ste 310Gallatin, TN 37066-3089 · (615) 451-9200 · Fax (615) 451-1246
Phone(615) 451-9200
Fax(615) 451-1246
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 17, 2019
Last NPPES UpdateOctober 18, 20265 updates tracked since enumeration
NPPES CertifiedOctober 18, 2026
✔ NPI 1326604075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in TN · 76713
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
300 STEAM PLANT RD STE 310, Gallatin, TN 37066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Cigna Healthcare and more.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 Metzler 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 ID3577893759
PECOS Enrollment IDI20260430001956
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shane Metzler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sumner Physician Practices LLC
Same address
Obstetrics & Gynecology
300 STEAM PLANT RD, SUITE 430
Gallatin, TN 37066
  • Reassigned Medicare billing, Tennessee enrollment
  • 110 clinicians in this Medicare group
NPI 1083953848 (615) 328-3390
Saint Thomas Medical Partners
26 mi
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1558506980 (615) 284-7555

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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 5

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

ASHLEY H HARBISON PHYSICIAN ASSISTANT
Physician Assistant
300 STEAM PLANT RD STE 310
GALLATIN, TN 37066
Sumner County (615) 451-9200
MR. CASEY WILLIAM SASSER FNP-BC
Nurse Practitioner (Family)
300 STEAM PLANT RD STE 310
GALLATIN, TN 37066
Sumner County (615) 451-9200
DR. NADIA RAZAQ SUTTON MD
Internal Medicine (Interventional Cardiology)
300 STEAM PLANT RD STE 310
GALLATIN, TN 37066
Sumner County (615) 451-9200
SUMNER PHYSICIAN PRACTICES, LLC
Internal Medicine (Interventional Cardiology)
300 STEAM PLANT RD STE 310
GALLATIN, TN 37066
Sumner County (615) 328-3730
JESSICA WILLIS GOAD M.D.
Internal Medicine
300 STEAM PLANT RD STE 310
GALLATIN, TN 37066
Sumner County (615) 451-9200

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 Metzler's NPI number?

The NPI number for Shane Metzler is 1326604075. It was assigned to this individual provider in the NPPES registry on May 17, 2019.

Where is Shane Metzler located?

Shane Metzler practices at 300 Steam Plant Rd Ste 310, Gallatin, TN 37066. The listed phone number is (615) 451-9200.

What is Shane Metzler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Shane Metzler enrolled in Medicare?

Yes. Shane Metzler 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 organizations bill Medicare for Shane Metzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Metzler reassigns Medicare benefits to 2 organizations: Sumner Physician Practices LLC (Gallatin, TN) and Saint Thomas Medical Partners (Nashville, TN). Each 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 Metzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Metzler accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Shane Metzler 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 Metzler affiliated with any hospitals?

According to CMS data, Shane Metzler is affiliated with Sumner Regional Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Shane Metzler was last updated on October 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days 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.