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DR. SHANE GALEN SUDMAN D.D.S.
NPI 1538249156
Dentist - General Practice in Lincoln, NE

Active since October 17, 2006PECOS Enrolled
1021 N 27TH ST, LINCOLN, NE 68503(402) 476-1640(402) 470-5459 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Apr 10, 2026, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Shane Galen Sudman D.d.s. NPPES

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

DR. SHANE GALEN SUDMAN D.D.S. (NPI 1538249156) is an individual general practice provider in Lincoln, Nebraska, licensed in Nebraska (7064) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lincoln, and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1538249156
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHANE GALEN SUDMANCredential: D.D.S.
Location Address1021 N 27TH STLincoln, NE 68503-1803
Mailing Address8220 Cheney Ridge Rd Apt 330Lincoln, NE 68516-3815 · (773) 597-8863
Phone(402) 476-1640
Fax(402) 470-5459
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 2, 20263 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1538249156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NE · 7064
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1021 N 27TH ST, Lincoln, NE 68503
Open in Google Maps ↗

Secondary Practice Location 1

Location 15801 S 58th St Ste AALincoln, NE 68516-6405 · Phone (402) 259-0206 · Fax (402) 259-0325

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Dr. Shane Galen Sudman D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739685595
PECOS Enrollment IDI20251001000419
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 Reassignment

Medicare enrollment records show Shane Sudman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluestem Health
Same address
Federally Qualified Health Center (FQHC)
1021 N 27TH ST
Lincoln, NE 68503
  • Reassigned Medicare billing, Nebraska enrollment
  • 20 clinicians in this Medicare group
NPI 1932156114 (402) 476-1455

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 68503 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

D'LAYNA MARLENE BRENING NP-C
Nurse Practitioner (Family)
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
MRS. JILLIAN MARIE VOLNEK PA-C
Physician Assistant
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
HORACIO N. ALVAREZ RAMIREZ MD
Family Medicine
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
DAWSON HULS
Physician Assistant
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
CHRISTOPHER C CAUDILL M.D.
Internal Medicine (Cardiovascular Disease)
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
LARRY LEE FLETCHER MD
Pediatrics
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1455
MEGAN OVERFIELD RDH
Dental Hygienist
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 476-1640
ARTHUR ROBERT ANDREWS III PHD
Psychologist
1021 N 27TH ST
LINCOLN, NE 68503
Lancaster County (402) 817-3290

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 Sudman's NPI number?

The NPI number for Shane Sudman is 1538249156. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Shane Sudman located?

Shane Sudman practices at 1021 N 27th St, Lincoln, NE 68503. The listed phone number is (402) 476-1640.

What is Shane Sudman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shane Sudman enrolled in Medicare?

Yes. Shane Sudman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Sudman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Sudman reassigns Medicare benefits to Bluestem Health (Lincoln, NE). The 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 Sudman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Sudman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Shane Sudman 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 Sudman was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.