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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHANE LINCE M.D.
NPI 1801320270
General Practice in Kingston, PA

Active since April 12, 2017PECOS Enrolled
88.72/100
CMS Quality Rating
487 NORTHAMPTON ST, KINGSTON, PA 18704(223) 327-5661 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, Jun 10, 2022, Apr 12, 2017 (3 updates tracked since 2017).

About Dr. Shane Lince M.d. NPPES

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

DR. SHANE LINCE M.D. (NPI 1801320270) is an individual general practice provider in Kingston, Pennsylvania, licensed in Pennsylvania (MD476426) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801320270
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHANE LINCECredential: M.D.
Location Address487 NORTHAMPTON STKingston, PA 18704-4509
Mailing Address487 Northampton StKingston, PA 18704-4509 · (223) 327-5661
Phone(223) 327-5661
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1801320270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD476426
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License MD476426 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
487 NORTHAMPTON ST, Kingston, PA 18704
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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 Lince M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901132059
PECOS Enrollment IDI20220310002224
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 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.

88.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.46
Promoting Interoperability100
Improvement Activities40
Cost56.62

Referred Medical Equipment & Supplies CMS DME claims 2

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims465 services$7.09 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier27 claims973 services$0.92 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 3

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

DR. RICHARD A BROWN DMD
Dentist (Pediatric Dentistry)
487 NORTHAMPTON ST
KINGSTON, PA 18704
Luzerne County (570) 288-4591
DR. BROWN'S CHILDREN'S DENTAL CENTER, PC
Dentist (Pediatric Dentistry)
487 NORTHAMPTON ST
KINGSTON, PA 18704
Luzerne County (570) 288-4591
MY CHOICE ADULT DAY CENTER
Clinic/Center (Adult Day Care)
487 NORTHAMPTON ST
KINGSTON, PA 18704
Luzerne County (570) 703-1161

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 Lince's NPI number?

The NPI number for Shane Lince is 1801320270. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Shane Lince located?

Shane Lince practices at 487 Northampton St, Kingston, PA 18704. The listed phone number is (223) 327-5661.

What is Shane Lince's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shane Lince enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shane Lince was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.