MATTHEW D. SHANE MD
NPI 1407894850
Surgery in Lexington, KY

Q: What is Matthew Shane's NPI number?

The NPI number for Matthew Shane is 1407894850. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Q: What is Matthew Shane's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Shane was last updated on August 6, 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.

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment

94.21/100

CMS Quality Rating

1760 NICHOLASVILLE RD, SUITE 202, LEXINGTON, KY 40503(859) 277-5711(859) 967-1769 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Matthew D. Shane Md NPPES

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

MATTHEW D. SHANE MD (NPI 1407894850) is an individual surgery provider in Lexington, Kentucky, licensed in Kentucky (41174) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Kentucky College Of Medicine (2000).

NPPES Registry Identity

NPI1407894850

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMATTHEW D. SHANECredential: MD

Location Address1760 NICHOLASVILLE RD, SUITE 202Lexington, KY 40503-1472

Mailing Address1760 Nicholasville Rd, Suite 202Lexington, KY 40503-1472 · (859) 277-5711 · Fax (859) 967-1769

Phone(859) 277-5711

Fax(859) 967-1769

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2000

Enumeration DateJune 4, 2006

Last NPPES UpdateAugust 6, 2015

✔ NPI 1407894850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · 41174

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1760 NICHOLASVILLE RD, Lexington, KY 40503

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Other Identifiers 3

Medicaid7100018900KY

Medicare PINP00439243KY

Medicare PIN0542810KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Matthew D. 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 ID7618989021

PECOS Enrollment IDI20070828000470

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 12

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 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.

95 services95 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

56 services47 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

55 services22 patients

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.

53 services52 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

39 services38 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

31 services29 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

27 services27 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

23 services23 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

23 services23 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

22 services22 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

15 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180049

Location801 Eastern BypassRichmond, KY 40475 · Madison County

Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180080

LocationOne Trillium WayCorbin, KY 40701 · Whitley County

Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

94.21/100

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

Scored as part of a group practice

Quality

90.28

Improvement Activities

Cost

93.67

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

3 suppliers26 claims313 services$2.51 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

2 suppliers17 claims26 services$5.28 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

3 suppliers18 claims948 services$0.23 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier12 claims260 services$2.61 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers15 claims825 services$0.21 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier17 claims510 services$2.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JOHN CHARLES VANCE MD

Pediatrics (Neonatal-Perinatal Medicine)

1760 NICHOLASVILLE RD, SUITE 406
LEXINGTON, KY 40503

Fayette County (859) 276-1221

PAIN CONSULTANTS OF CENTRAL KENTUCKY, PLLC

Anesthesiology (Pain Medicine)

1760 NICHOLASVILLE RD, STE 301
LEXINGTON, KY 40503

Fayette County (859) 276-0206

DR. CHRISTIAN NORMAN RAMSEY III M.D.

Neurological Surgery

1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503

Fayette County (859) 277-6143

MOLLY YOUNG HESTER M.D.

Radiology (Diagnostic Radiology)

1760 NICHOLASVILLE RD, SUITE 401
LEXINGTON, KY 40503

Fayette County (859) 260-6537

ORTHOPEDIC CONSULTANTS PSC

Orthopaedic Surgery

1760 NICHOLASVILLE RD, SUITE 604
LEXINGTON, KY 40503

Fayette County (859) 255-9059

DR. WILLIAM E BLACKBURN MD

Urology

1760 NICHOLASVILLE RD, SUITE 301
LEXINGTON, KY 40503

Fayette County (859) 277-5766

RICHARD TODD CRAWFORD PA-C

Physician Assistant (Medical)

1760 NICHOLASVILLE RD, STE 603
LEXINGTON, KY 40503

Fayette County (859) 277-3636

DR. RICHARD DAVID BAEHLER M.D.

Surgery

1760 NICHOLASVILLE RD, SUITE 202
LEXINGTON, KY 40503

Fayette County (859) 277-5711

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 Matthew Shane's NPI number?

The NPI number for Matthew Shane is 1407894850. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Matthew Shane located?

Matthew Shane practices at 1760 Nicholasville Rd Suite 202, Lexington, KY 40503. The listed phone number is (859) 277-5711.

What is Matthew Shane's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Matthew Shane enrolled in Medicare?

Yes. Matthew Shane 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 Matthew Shane accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Matthew Shane 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 Matthew Shane affiliated with any hospitals?

According to CMS data, Matthew Shane is affiliated with Baptist Health Richmond, Baptist Health Corbin and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Matthew Shane was last updated on August 6, 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.