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SHANE D STENEHJEM
NPI 1861478968
Podiatrist in Franklin, MA

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9 SUMMER STREET, SUITE 202, FRANKLIN, MA 02038(508) 528-2525(508) 520-8901 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane D Stenehjem NPPES

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

SHANE D STENEHJEM (NPI 1861478968) is an individual podiatrist in Franklin, Massachusetts, licensed in Massachusetts (2204) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1861478968
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameSHANE D STENEHJEM
Location Address9 SUMMER STREET, SUITE 202Franklin, MA 02038-1914
Mailing Address9 Summer Street, Suite 202Franklin, MA 02038-1914 · (508) 528-2525 · Fax (508) 520-8901
Phone(508) 528-2525
Fax(508) 520-8901
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 20, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861478968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MA · 2204
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9 SUMMER STREET, Franklin, MA 02038
Open in Google Maps ↗

Other Identifiers 7

Other7429718MA · Aetna
Medicare ID-Type UnspecifiedU99966
Other27-01097MA · Evercare
OtherAA43714MA · Harvard Pilgrim
OtherY71124MA · Bc/bs
Medicare ID-Type UnspecifiedY75120
Other494209MA · Tufts Health Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Shane D Stenehjem 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 ID5496731457
PECOS Enrollment IDI20040629000765
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.

Areas of Expertise CMS Part B claims 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
3,440 services1,308 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
2,144 services805 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
1,426 services540 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
628 services411 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
397 services263 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
374 services374 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02038 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

SHERRY HICKS STENEHJEM DPM
Podiatrist
9 SUMMER STREET, SUITE 202
FRANKLIN, MA 02038
Norfolk County (508) 528-2525

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 Stenehjem's NPI number?

The NPI number for Shane Stenehjem is 1861478968. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Shane Stenehjem located?

Shane Stenehjem practices at 9 Summer Street Suite 202, Franklin, MA 02038. The listed phone number is (508) 528-2525.

What is Shane Stenehjem's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Shane Stenehjem enrolled in Medicare?

Yes. Shane Stenehjem 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 Stenehjem accept?

Health plans from Anthem Blue Cross and Blue Shield list Shane Stenehjem 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 Stenehjem was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.