DR. SHANE R OGLE D.C.
NPI 1760741813
Chiropractor in Lebanon, MO

Active since May 10, 2012Accepts Medicare Assignment
464 N JEFFERSON AVE, LEBANON, MO 65536(417) 532-9166 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shane R Ogle D.c. NPPES

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

DR. SHANE R OGLE D.C. (NPI 1760741813) is an individual chiropractor in Lebanon, Missouri, licensed in Missouri (2012013169) and active in the NPI registry since May 2012. He is a graduate of Logan College Of Chiropractic (2012).

NPPES Registry Identity

NPI1760741813
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE R OGLECredential: D.C.
Location Address464 N JEFFERSON AVELebanon, MO 65536-2742
Mailing Address103 Ichord Ave, Ste BWaynesville, MO 65583-5402 · (417) 532-9166
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2012
Enumeration DateMay 10, 2012
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1760741813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2012013169
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
464 N JEFFERSON AVE, Lebanon, MO 65536

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shane R Ogle D.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 ID6305001413
PECOS Enrollment IDI20120622000188

Medicare Billing Reassignment

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

Chiropractor
100 LAFAYETTE CIR STE A
Waynesville, MO 65583
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
57 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536
Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536
Chiropractor
464 N JEFFERSON AVE
LEBANON, MO 65536

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 Ogle's NPI number?

The NPI number for Shane Ogle is 1760741813. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Shane Ogle located?

Shane Ogle practices at 464 N Jefferson Ave, Lebanon, MO 65536. The listed phone number is (417) 532-9166.

What is Shane Ogle's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shane Ogle enrolled in Medicare?

Yes. Shane Ogle 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.

Which organization bills Medicare for Shane Ogle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Ogle reassigns Medicare benefits to Ogle Chiropractic And Rehab Center, LLC (Waynesville, MO). 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 Ogle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Ogle was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.