DR. SHANE RAINEY D.O.
NPI 1588041164
Pediatrics in Peoria, IL

Active since May 02, 2015PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2274 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shane Rainey D.o. NPPES

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

DR. SHANE RAINEY D.O. (NPI 1588041164) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (036.144466) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588041164
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. SHANE RAINEYCredential: D.O.
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address4005 W Carrousel LnPeoria, IL 61615-2860 · (630) 882-5719
Sole ProprietorYes
Enumeration DateMay 2, 2015
Last NPPES UpdateJanuary 7, 2019
NPI 1588041164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036.144466
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
530 NE GLEN OAK AVE, Peoria, IL 61637

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Shane Rainey D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Rainey's NPI number?

The NPI number for Shane Rainey is 1588041164. It was assigned to this individual provider in the NPPES registry on May 2, 2015.

Where is Shane Rainey located?

Shane Rainey practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2274.

What is Shane Rainey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shane Rainey enrolled in Medicare?

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

What insurance does Shane Rainey accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Medica and Oscar Health Plan, Inc. list Shane Rainey 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 Rainey was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.