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CAROLINA MERCEDES MCSHANE MD
NPI 1396323879
Radiology - Diagnostic Radiology in Madison, WI

Active since March 29, 2021PECOS Enrolled
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2026, Oct 13, 2022, Mar 29, 2021 (3 updates tracked since 2021).

About Carolina Mercedes Mcshane Md NPPES

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

CAROLINA MERCEDES MCSHANE MD (NPI 1396323879) is an individual diagnostic radiology provider in Madison, Wisconsin, licensed in Wisconsin (82860-20) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1396323879
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameCAROLINA MERCEDES MCSHANECredential: MD
Location Address600 HIGHLAND AVEMadison, WI 53792-1971
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-6400
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1396323879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 82860-20
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Secondary Practice Location 1

Location 136475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-4800 · Fax (734) 655-2911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Mercedes Mcshane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carolina Mcshane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Wisconsin System Non Payroll
0.1 mi
Multi-Specialty
750 HIGHLAND AVE FL 4, HEALTH SCIENCES LEARNING CENTER
Madison, WI 53705
  • Reassigned Medicare billing, Wisconsin enrollment
  • 206 clinicians in this Medicare group
NPI 1346266319 (608) 263-4938
University Of Wisconsin Medical Foundation, Inc
5.0 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Carolina Mcshane's NPI number?

The NPI number for Carolina Mcshane is 1396323879. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Carolina Mcshane located?

Carolina Mcshane practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.

What is Carolina Mcshane's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Carolina Mcshane enrolled in Medicare?

Yes. Carolina Mcshane is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carolina Mcshane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Mcshane reassigns Medicare benefits to 2 organizations: University Of Wisconsin System Non Payroll (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Carolina Mcshane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolina Mcshane accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Carolina Mcshane 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 Carolina Mcshane was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.