MR. SHANE A FUTCHKO PA-C
NPI 1639357676
Physician Assistant - Medical in San Diego, CA

Active since February 01, 2008PECOS EnrolledAccepts Medicare Assignment
3930 4TH AVE, STE 200, SAN DIEGO, CA 92103(352) 219-3271 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Shane A Futchko Pa-c NPPES

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

MR. SHANE A FUTCHKO PA-C (NPI 1639357676) is an individual medical provider in San Diego, California, licensed in California (PA21690) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639357676
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. SHANE A FUTCHKOCredential: PA-C
Location Address3930 4TH AVE, STE 200San Diego, CA 92103-3119
Mailing Address3930 4th Ave, Ste 200San Diego, CA 92103-3119 · (352) 219-3271
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 1, 2008
Last NPPES UpdateJuly 27, 2012
NPI 1639357676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21690
3930 4TH AVE, San Diego, CA 92103

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 and accepts Medicare assignment

Mr. Shane A Futchko Pa-c 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 ID8729245071
PECOS Enrollment IDI20230524002362
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.

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.

Clinic/Center (Rehabilitation, Substance Use Disorder)
3930 4TH AVE, SUITE 300
SAN DIEGO, CA 92103
Physical Therapy Assistant
3930 4TH AVE
SAN DIEGO, CA 92103
Counselor (Mental Health)
3930 4TH AVE, #300
SAN DIEGO, CA 92103
Physical Therapist (Orthopedic)
3930 4TH AVE, SUITE 200
SAN DIEGO, CA 92103
Social Worker (Clinical)
3930 4TH AVE
SAN DIEGO, CA 92103
Pediatrics
3930 4TH AVE, STE 200
SAN DIEGO, CA 92103
Physician Assistant
3930 4TH AVE
SAN DIEGO, CA 92103
Social Worker
3930 4TH AVE, SUITE# 300
SAN DIEGO, CA 92103

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 Futchko's NPI number?

The NPI number for Shane Futchko is 1639357676. It was assigned to this individual provider in the NPPES registry on February 1, 2008.

Where is Shane Futchko located?

Shane Futchko practices at 3930 4th Ave Ste 200, San Diego, CA 92103. The listed phone number is (352) 219-3271.

What is Shane Futchko's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shane Futchko enrolled in Medicare?

Yes. Shane Futchko 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 Shane Futchko accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Shane Futchko 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 Futchko was last updated on July 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.