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SUSAN P. SHANE M.D.
NPI 1811959927
Family Medicine in Burlington, VT

Active since April 04, 2006PECOS Enrolled
1 SOUTH PROSPECT STREET, FAHC FAMILY MEDICINE, ARNOLD 4, BURLINGTON, VT 05401(802) 847-4237 Get Directions Write a Review

NPPES record last updated: October 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan P. Shane M.d. NPPES

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

SUSAN P. SHANE M.D. (NPI 1811959927) is an individual family medicine provider in Burlington, Vermont, licensed in Vermont (042-0007826) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811959927
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN P. SHANECredential: M.D.
Location Address1 SOUTH PROSPECT STREET, FAHC FAMILY MEDICINE, ARNOLD 4Burlington, VT 05401
Mailing AddressPo Box 1150Burlington, VT 05402-1150 · (802) 847-8161
Phone(802) 847-4237
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateOctober 4, 2013
✔ NPI 1811959927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 042-0007826
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 SOUTH PROSPECT STREET, Burlington, VT 05401
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Other Identifiers 3

Medicaid0009335VT
Medicare UPINE62281VT
Medicare ID-Type UnspecifiedVT9335VT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan P. Shane M.d. 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 05401 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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 5

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

DANIEL A CHIDPUNGTAM M.D.
Psychiatry & Neurology (Psychiatry)
1 SOUTH PROSPECT STREET, UHC CAMPUS 6TH FLOOR PSYCHIATRY
BURLINGTON, VT 05401
Chittenden County (802) 847-4560
ANDREA ELIZABETH GREEN M.D.
Pediatrics
1 SOUTH PROSPECT STREET, UHC PEDIATRICS
BURLINGTON, VT 05401
Chittenden County (802) 847-4696
DR. MASHA Y IVANOVA PHD
Psychologist (Clinical Child & Adolescent)
1 SOUTH PROSPECT STREET, UHC ST JOSEPHS WING 3RD FLOOR
BURLINGTON, VT 05401
Chittenden County (802) 656-2796
MICHAEL A HOFFNUNG D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 SOUTH PROSPECT STREET, ARNOLD LEVEL 3
BURLINGTON, VT 05401
Chittenden County (718) 470-8765
AMY DINITZ
Internal Medicine
1 SOUTH PROSPECT STREET, UHC CAMPUS
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

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 Susan Shane's NPI number?

The NPI number for Susan Shane is 1811959927. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Susan Shane located?

Susan Shane practices at 1 South Prospect Street Fahc Family Medicine, Arnold 4, Burlington, VT 05401. The listed phone number is (802) 847-4237.

What is Susan Shane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Shane enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Shane was last updated on October 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.